Individual
MS. LEILA IMOGENE KAYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
101 N ALPINE RD, ROCKFORD, IL 61107-4901
(779) 423-1700
(866) 596-1207
Mailing address
101 N ALPINE RD, ROCKFORD, IL 61107-4901
(779) 423-1700
(866) 596-1207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227.003938
IL
Other
Enumeration date
01/30/2008
Last updated
09/17/2008
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