Individual
DR. KELLY H. LEGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
930 3RD ST, GREENSBORO, NC 27405-6967
(336) 890-3200
(336) 890-3290
Mailing address
P.O. BOX 13605, GREENSBORO, NC 27415-3605
(336) 547-1877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200401255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1374U
BCBS NC
NC
01
—
7594603
AETNA
NC
01
—
804932
PARTNERS MEDICARE CHOICE
NC
05
—
891374U
—
NC
01
—
D7523
MEDCOST
NC
Enumeration date
06/07/2006
Last updated
08/18/2021
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