Kim M Leis-Keeling in Albany - Sports Physician
Kim M Leis-Keeling - NPI 1922069699
Kim M Leis-Keeling is a Sports Physician in Albany, New York. Kim M Leis-Keeling practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Kim M Leis-Keeling is 1922069699. The last update date is 2020-10-21.
Kim M Leis-Keeling's current location address is 2021 Western Ave, Albany, New York. You can contact this provider via phone number 5189820200. The mailing address for Kim M Leis-Keeling is 2021 Western Ave, Albany, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kim M Leis-Keeling |
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Address | 2021 Western Ave, Albany, New York |
Phone Number | 5189820200 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1922069699 |
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Provider Enumeration Date | 2006-03-31 |
Last Updated Date | 2020-10-21 |
Provider Mailing Address Detail
Address | 2021 Western Ave |
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City | Albany |
State | New York (NY) |
Post Code | 122035029 |
Phone Number | 5189820200 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Sports Physician |
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Taxonomy | 111Ns0005X |
Licence No | X012138-1 |
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
210K8LE | FM | BCBS | |
45-4547459 | NY | CHIROPRACTIC |
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What is the Kim M Leis-Keeling's 1922069699?
The Kim M Leis-Keeling's NPI (National Provider Identifier) Number is 1922069699. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kim M Leis-Keeling's physical address?
The Kim M Leis-Keeling is physically located at 2021 Western Ave, in the city of Albany, NY, with the postal code 122035029.
What is the Kim M Leis-Keeling's specialty and taxonomy code?
The Kim M Leis-Keeling's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Kim M Leis-Keeling receive its 1922069699 assignment from the Centers for Medicare & Medicaid Services?
The Kim M Leis-Keeling was assigned its 1922069699 by the Centers for Medicare & Medicaid Services on 2006-03-31.
When was the information regarding Kim M Leis-Keeling most recently updated?
The details pertaining to the Kim M Leis-Keeling, including its address, specialty, and other relevant information, were last refreshed on 2020-10-21.