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KELLI B LELAND MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1356319800
Individual Registrant: KELLI B LELAND MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
221 MAIN ST N PIERZ, MN 56364-1570 US
Tel: 320-468-2587 Fax: 320-468-6219
Tel: 320-468-2587 Fax: 320-468-6219
Contact information for business:
523 N 3RD ST BRAINERD, MN 56401-3054 US
Tel: 218-829-2861 Fax: --
Tel: 218-829-2861 Fax: --
Registration Information:
NPI: 1356319800
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | MN | 30059 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 037090800 | MN | 05 |
