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KRISTEN LEY

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1558775411

Individual Registrant:
 KRISTEN  LEY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
375 W HIGHWAY 37  LAKELAND, GA 31635 US
Tel: 229-834-2209  Fax: --

Contact information for business:
375 W HIGHWAY 37  LAKELAND, GA 31635-6751 US
Tel: 229-232-8052  Fax: --

Registration Information:
NPI: 1558775411
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
GARN162601

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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