KELLY PATRICIA LEUCK (NPI# 1881188530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881188530 |
| Entity Type | Individual |
| Full Name | KELLY PATRICIA LEUCK |
| Practice Address |
1042 Cressmont St Bossier City LA 71111-5759 |
| Practice Telephone | 8312462088 |
| Mailing Telephone | 8312462088 |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2018-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
1042 CRESSMONT ST |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700186434 | Devin Anthony Keeton | Military Health Care Provider | 759 Pinetree St, Slidell, LA 70458-4413 | 2010-10-28 |
| 1003079195 | Christopher Lynn Anderson | Military Health Care Provider | 1790 Saturn Blvd, New Orleans, LA 70129 | 2008-07-08 |
| 1336340777 | Red River Army Depot | Military Health Care Provider | 9403 Evergreen Dr, Shreveport, LA 71118-3935 | 2007-05-31 |
| 1194871731 | Jessica Jamison | Military Health Care Provider | 7505 Pines Rd Ste 1255, Shreveport, LA 71129-3923 | 2007-01-26 |
| 1013534783 | James T Bridges | Military Health Care Provider | 2439 Manhattan Blvd, Harvey, LA 70058-5328 | 2020-06-29 |
| 1366938151 | Saudia Fatima Dolliole | Military Health Care Provider | 4300 S I 10 Service Rd W Ste 215, Metairie, LA 70001-7436 | 2018-07-05 |
| 1033516042 | Gina Markle | Military Health Care Provider | 1790 Saturn Blvd, New Orleans, LA 70129 | 2014-11-20 |
| 1619202520 | Suzanne Noland Hammel | Military Health Care Provider | 122 Sierra Ct, Metairie, LA 70001-5326 | 2009-10-09 |
| 1366611055 | United States Coast Guard | Military Health Care Provider | 13800 Old Gentilly Rd, New Orleans, LA 70129-2218 | 2008-02-27 |
| 1043401607 | Jesse Andrew Walton | Military Health Care Provider | 13800 Old Gentilly Rd, Medical Division, New Orleans, LA 70129-2218 | 2007-08-07 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on KELLY PATRICIA LEUCK.
| 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.