Individual
LESLIE RENEE' MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
613 MAIN ST, CRAB ORCHARD, KY 40419-6520
(606) 370-4011
(606) 370-4012
Mailing address
3916 HAMILTON VALLEY RD, CRAB ORCHARD, KY 40419-9659
(859) 339-4414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012230
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14271226
CAQH
—
05
—
7100560000
—
KY
Enumeration date
06/07/2018
Last updated
05/07/2024
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