Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 01-04671 | KS |
NPI | 1750369013 |
---|---|
Provider Name | Dr. Steven L Leonard |
First Address | Iola, KS 66749-1707 |
Second Address | Iola, KS 66749-1707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
60434 | BC/BS OF KANSAS (01) | KS |