Provider Demographics
NPI:1467295303
Name:OATS, KYLEE LESHAY
Entity type:Individual
Prefix:
First Name:KYLEE
Middle Name:LESHAY
Last Name:OATS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 1ST ST NE APT D1
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-3307
Mailing Address - Country:US
Mailing Address - Phone:406-399-2230
Mailing Address - Fax:
Practice Address - Street 1:1915 1ST ST NE APT D1
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-3307
Practice Address - Country:US
Practice Address - Phone:406-399-2230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver