Individual
KELLY J LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, BC
Contact information
Practice address
3294 POPLAR AVE STE 100, MEMPHIS, TN 38111-4649
(901) 362-8671
Mailing address
3294 POPLAR AVE STE 100, MEMPHIS, TN 38111-4649
(901) 362-8671
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000013476
TN
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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