Provider Demographics
NPI:1700203130
Name:KING, LESLIE JOAN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:JOAN
Last Name:KING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:
Other - Last Name:REESE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10550 QUIVIRA RD
Mailing Address - Street 2:STE 360
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2306
Mailing Address - Country:US
Mailing Address - Phone:913-227-0565
Mailing Address - Fax:913-227-0521
Practice Address - Street 1:10550 QUIVIRA RD
Practice Address - Street 2:STE 360
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2306
Practice Address - Country:US
Practice Address - Phone:913-227-0565
Practice Address - Fax:913-227-0521
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-76237-111363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner