Mack, Leslie A

Mack, Leslie A is an individual health care provider with primary practice located at 2090 S Ohio St Suite 3W, Salina KS 67401. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mack, Leslie A can be contacted via phone (785) 309-2323.

Contact Information

Primary practice address
2090 S Ohio St Suite 3W Salina KS 67401
Phone: (785) 309-2323
Fax: (785) 309-2331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 13-71194-071 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-75191-071 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-75191-071 Kansas

Profile Details

NPI number 1508172552
LBN Legal business name Mack, Leslie A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2010
Last updated Mar 4th, 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 1508172552 NPPES
Kansas MEDICAID 200743910D

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