Individual
KYLEE BREANNE LECKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6632
Mailing address
537 CHESTNUT ST, INDIANA, PA 15701-1909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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