Provider Demographics
NPI:1497728554
Name:LEONARD, KARI L (DC)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:L
Last Name:LEONARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255B W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4301
Mailing Address - Country:US
Mailing Address - Phone:406-728-7777
Mailing Address - Fax:406-549-8352
Practice Address - Street 1:255B W FRONT ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4301
Practice Address - Country:US
Practice Address - Phone:406-728-7777
Practice Address - Fax:406-549-8352
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-646111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor