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Individual

LEAH C KINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
515 N LAFAYETTE BLVD, SOUTH BEND, IN 46601-1003
(574) 232-2037
(574) 232-1420
Mailing address
130 S MAIN ST, SUITE 250, SOUTH BEND, IN 46601-1816
(574) 251-2100
(574) 251-2151

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
28161643A
IN

Other

Enumeration date
02/11/2011
Last updated
02/11/2011
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