Individual
MRS. BRENDA JEAN LEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8951 STATE LINE RD, KANSAS CITY, MO 64114-3231
(816) 443-0089
Mailing address
7839 N LAWN AVE, KANSAS CITY, MO 64119-7631
(816) 517-4339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020003744
MO
Other
Enumeration date
02/24/2020
Last updated
03/30/2022
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