Provider Demographics
NPI:1447670302
Name:PARKER, LEONNA LASHELL
Entity type:Individual
Prefix:
First Name:LEONNA
Middle Name:LASHELL
Last Name:PARKER
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 1:8642 E 52ND TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64129-2206
Mailing Address - Country:US
Mailing Address - Phone:816-882-7371
Mailing Address - Fax:
Practice Address - Street 1:8642 E 52ND TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64129-2206
Practice Address - Country:US
Practice Address - Phone:816-882-7371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker