Individual
MRS. KELLY ANN LEIWEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3800 SUNRISE SCHOOL RD, DE SOTO, MO 63020-5113
(314) 440-9909
Mailing address
3800 SUNRISE SCHOOL RD, DE SOTO, MO 63020-5113
(314) 440-9909
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2023045582
MO
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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