Organization
HEALTHSPOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LEE LETZ ND, NP (CEO)
(260) 818-2128
Entity
Organization
Contact information
Practice address
420 W 2ND ST, BLOOMINGTON, IN 47403-2414
(812) 323-9800
Mailing address
420 W 2ND ST, BLOOMINGTON, IN 47403-2414
(812) 323-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029905A
IN
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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