NPI 1700525896 · live from the CMS NPI Registry
Cecelia Leakey
Nurse Practitioner in Lenexa, KS. National Provider Identifier 1700525896, active.
NPI record
| NPI | 1700525896 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 9100 Park St, Lenexa, KS 66215 |
| Practice phone | 913-888-1900 |
| Mailing address | 6518 Se Berryton Rd, Berryton, KS 66409 |
| Enumerated | May 27, 2022 |
| Last updated | June 8, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gerontology | 163WG0600X | 134036 (KS) |
| Nurse Practitioner primary | 363L00000X | 81233 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.