Provider Demographics
NPI:1013325943
Name:LEEK, KIMBERLEE N (ARNP)
Entity Type:Individual
Prefix:
First Name:KIMBERLEE
Middle Name:N
Last Name:LEEK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 BELFORT RD STE 4030
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1475
Mailing Address - Country:US
Mailing Address - Phone:904-450-6090
Mailing Address - Fax:904-450-6099
Practice Address - Street 1:4205 BELFORT RD STE 4030
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1475
Practice Address - Country:US
Practice Address - Phone:904-450-6090
Practice Address - Fax:904-450-6099
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9327693363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily