KELLY LESLIE


Address: 517 Beech Ridge Rd, North Berwick, ME 03906-6313
Phone: 8162090376

KELLY LESLIE (NPI# 1447896147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447896147
Entity Type Individual
Full Name KELLY LESLIE
Practice Address 517 Beech Ridge Rd
North Berwick
ME 03906-6313
Practice Telephone 8162090376
Mailing Telephone 8162090376
Enumeration Date 2019-11-18
Last Update Date 2019-11-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WE0003X Registered Nurse
Specialization: Emergency
2016004731 MO Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
517 Beech Ridge Rd, North Berwick, ME 039066313 8162090376

Office Location

Street Address 517 BEECH RIDGE RD
City NORTH BERWICK
State ME
Zip Code 03906-6313

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NPI Name Taxonomy Address Enumeration
1598058125 Nancy Smith-jewell Psychologist 37 Adams Bridge Road, North Berwick, ME 03906 2011-05-16
1376563411 Robert Edward Gaetjens Preventive Medicine 113 Wells St., Pratt &whitney Aircraft, North Berwick, ME 03906 2006-07-20
1861453029 Julianne Alexander Physical Therapist 5 Burma Rd, No Berwick, ME 03906 2006-03-29
1659769289 Joseph Lawrence Pelletier Counselor 33 Main St., North Berwick, ME 03906 2015-01-06
1770971236 Recovery Maine, Inc. Clinic/Center 33 Main St., North Berwick, ME 03906 2015-01-06
1578878955 Maribel Seda Despres Occupational Therapist 21 Main Street, Sad 60, North Berwick, ME 03906 2010-08-10
1528166998 Erin E Roy-pelletier Social Worker 21 Main St, North Berwick, ME 03906 2006-09-20
1649230194 Charles W Hintermeister Family Medicine 7 High St, North Berwick, ME 03906 2006-03-27
1780703611 Msad 60 Day Training, Developmentally Disabled Services 21 Main Street, North Berwick, ME 03906-0819 2007-03-29
1740300417 Msad 60 Case Management 21 Main Street, North Berwick, ME 03906-0819 2007-03-29
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Taxonomy Information

Taxonomy Code 163WE0003X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Emergency

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508246190 James Bean Registered Nurse 635 Center Rd, Montville, ME 04941-4205 2015-06-09
1760955991 Emily Burgio Hines Registered Nurse 22 Bramhall St, Portland, ME 04102-3134 2019-01-10
1881149250 Jessica Langella Registered Nurse 1230 Maine St, Poland, ME 04274-7325 2016-08-16
1417309766 Bethany Sheets Registered Nurse 25a June St, Sanford, ME 04073-2642 2016-07-11
1376897967 James Anthony Bois Registered Nurse 690 Minot Ave Ste 1, Central Maine Orthopaedics, P.a., Auburn, ME 04210-3922 2012-11-03
1649531849 Theresa Worcester Registered Nurse 6 E Chestnut St, Augusta, ME 04330-5717 2012-06-04

Competitor

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City NORTH BERWICK
Zip Code 03906

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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