Individual
MRS. KRISTIN E LEEDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4220
(989) 583-4287
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4220
(989) 583-4220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704200026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4537150
—
MI
01
—
5008701350
BLUE CROSS
MI
Enumeration date
04/10/2007
Last updated
09/10/2014
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