Individual provider · Type 1 NPI

Kendall Divante Leonard

Contractor · Glenwood, IL

NPI number 1245864784 Active

Practice location

524 N Roberts Dr Apt 2B
Glenwood, IL 60425-2300

Mailing address

3646 147th Pl Apt Gn
Midlothian, IL 60445-3590

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XV00018705 (IL)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

About NPI 1245864784

Kendall Divante Leonard's National Provider Identifier is 1245864784, issued on Feb 24, 2020. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Glenwood, IL. The record was last updated on Feb 24, 2020.