Individual
DR. KIM M LEIS-KEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2021 WESTERN AVE, ALBANY, NY 12203-5069
(518) 869-3415
Mailing address
2021 WESTERN AVE, STE 102, ALBANY, NY 12203-5029
(518) 982-0200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4498
MN
111NS0005X
Sports Physician Chiropractor
Primary
X012138-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210K8LE
BCBS
FM
01
—
45-4547459
CHIROPRACTIC
NY
Enumeration date
03/31/2006
Last updated
10/21/2020
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