Dr. Kristen Leadbetter
Pediatrician Neonatal-Perinatal Doctor
415 N 9th St Ste 4w16
Springfield
, Illinois 62702-5303
Dr. Kristen Leadbetter
Pediatrician Neonatal-Perinatal Doctor
415 N 9th St Ste 4w16
Springfield
, Illinois 62702-5303
(217) 757-6844
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About
Features
Specialties
- Pediatrician
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Dr. Kristen Leadbetter
- Po Box 19676
- Springfield, IL
- Zip : 62794-9676
- Fax : (217) 757-6844
- Phone : (217) 545-8000
Second Address
- Dr. Kristen Leadbetter
- 415 N 9th St Ste 4w16
- Springfield, IL
- Zip : 62702-5303
- Fax : (217) 757-6844
- Phone : (217) 545-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 036-134761 | IL |
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 036-134761 | IL |
National Provider Identifier
| NPI | 1083877088 |
|---|---|
| Provider Name | Dr. Kristen Leadbetter |
| First Address | Springfield, IL 62794-9676 |
| Second Address | Springfield, IL 62702-5303 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2008 |
| Last Update Date | 12/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036134761 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.