Individual
MRS. KAILEEN M LEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
JAMES A. HALEY VETERANS HOSPITAL, 13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612
(813) 972-2000
Mailing address
9236 123RD WAY, SEMINOLE, FL 33772-3229
(727) 249-3914
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11006340
FL
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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