Individual
MR. KENNETH ROBERT LEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1825 WOODWINDS DR, WOODBURY, MN 55125-2202
(651) 232-6700
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5177
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
5177
MN
Other
Enumeration date
06/22/2017
Last updated
01/27/2026
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