Leis-Keeling, Kim M

Leis-Keeling, Kim M is an sole proprietor health care provider with primary practice located at 2021 Western Ave , Albany NY 12203-5069. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is her primary health care specialty. Leis-Keeling, Kim M can be contacted via phone (518) 869-3415.

Contact Information

Primary practice address
2021 Western Ave Albany NY 12203-5069
Phone: (518) 869-3415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4498 Minnesota
Chiropractic Providers / Sports Physician 111NS0005X X012138-1 New York

Profile Details

NPI number 1922069699
LBN Legal business name Leis-Keeling, Kim M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Oct 21st, 2020 - about 6 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 1922069699 NPPES
Fm Other 210K8LE BCBS
Fm Other 45-4547459 BCBS

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