Individual provider · Type 1 NPI
Kelli Kay Leask, FNP-C
Family Nurse Practitioner · Grand Rapids, MI
NPI number
1235776576
Active
Practice location
100 Michigan St NE
Grand Rapids, MI 49503-2560
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704245626 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1235776576
Kelli Kay Leask, FNP-C's National Provider Identifier is 1235776576, issued on Dec 5, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 10, 2021.