Provider Demographics
NPI:1356336549
Name:NELSON, LEIGH A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:A
Last Name:NELSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2411 HOLMES ST
Mailing Address - Street 2:UMKC SCHOOL OF PHARMACY M3-C19 MEDICAL SCHOOL BLDG
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2741
Mailing Address - Country:US
Mailing Address - Phone:816-932-9095
Mailing Address - Fax:816-932-3143
Practice Address - Street 1:4330 WORNALL RD
Practice Address - Street 2:ST. LUKE'S MULTI-SPECIALTY CLINIC, MEDICAL PLAZA BLDG.
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3217
Practice Address - Country:US
Practice Address - Phone:816-932-9095
Practice Address - Fax:816-932-3143
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOMO 435991835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric