Individual
KANISHA L LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 930, MILWAUKEE, WI 53215-3692
(414) 384-5111
(414) 646-9835
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6670
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100049478
—
WI
05
—
1649643776
—
WI
Enumeration date
11/11/2015
Last updated
11/18/2024
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