Individual
DR. KIM M LEIS-KEELING
Active
Individual
DR. KIM M LEIS-KEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
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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