Leflore, Kayci Dawn

Leflore, Kayci Dawn is an individual health care provider with primary practice located at 800 E Carpenter St Room 2K64, Springfield IL 62769-0001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Leflore, Kayci Dawn can be contacted via phone (217) 525-5643.

Contact Information

Primary practice address
800 E Carpenter St Room 2K64 Springfield IL 62769-0001
Phone: (217) 525-5643
Fax: (217) 544-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041350433 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209007456 Illinois

Profile Details

NPI number 1861638546
LBN Legal business name Leflore, Kayci Dawn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2008
Last updated Apr 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861638546 NPPES
Illinois MEDICAID 041350433
Illinois MEDICAID 2003005278
Illinois MEDICAID 209007456

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