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MRS. KELLIE ANN LEAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-6416
(208) 367-2742
Mailing address
PO BOX 3750, SALT LAKE CITY, UT 84110-3750
(800) 945-9877

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61010
ID

Other

Enumeration date
03/07/2019
Last updated
03/18/2019
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