Individual
KAYCI DAWN LEFLORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E CARPENTER ST, ROOM 2K64, SPRINGFIELD, IL 62769-0001
(217) 525-5643
(217) 544-2521
Mailing address
800 E CARPENTER ST, ROOM 2K64, SPRINGFIELD, IL 62769-0001
(217) 525-5643
(217) 544-2521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041350433
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209007456
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041350433
—
IL
05
—
2003005278
—
MO
05
—
209007456
—
IL
Enumeration date
12/30/2008
Last updated
04/21/2011
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