Kelly Oh Leckrone in Huntington Beach - Orthopedic

Kelly Oh Leckrone - NPI 1962690206

Kelly Oh Leckrone is a Orthopedic in Huntington Beach, California. Kelly Oh Leckrone practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Kelly Oh Leckrone is 1962690206. The last update date is 2011-10-20.

Kelly Oh Leckrone's current location address is 19032 Magnolia St, Huntington Beach, California. You can contact this provider via phone number 7149683003. The mailing address for Kelly Oh Leckrone is 19032 Magnolia St, Huntington Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Oh Leckrone
Address 19032 Magnolia St, Huntington Beach, California
Phone Number 7149683003
Fax Number
Sole Proprietor N
Credentials DPT

NPI Number Detail

NPI Number 1962690206
Provider Enumeration Date 2007-10-11
Last Updated Date 2011-10-20

Provider Mailing Address Detail

Address 19032 Magnolia St
City Huntington Beach
State California (CA)
Post Code 926462232
Phone Number 7149683003
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No PT 34054
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PT 34054 CA PT LICENSE

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FAQs about Kelly Oh Leckrone

What is the unique identifier code issued to Kelly Oh Leckrone by the Centers for Medicare & Medicaid Services?

The Kelly Oh Leckrone has been assigned the NPI (National Provider Identifier) 1962690206. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kelly Oh Leckrone?

The Kelly Oh Leckrone is situated at 19032 Magnolia St, in the city of Huntington Beach, state of CA, with the zip code 926462232.

What is Kelly Oh Leckrone's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kelly Oh Leckrone is Orthopedic, and the taxonomy code that categorizes this field of expertise is 2251X0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1962690206 to Kelly Oh Leckrone?

The Kelly Oh Leckrone received its 1962690206 assignment from the Centers for Medicare & Medicaid Services on 2007-10-11.

When was the information related to Kelly Oh Leckrone most recently updated or refreshed?

The details pertaining to the Kelly Oh Leckrone, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-20.

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