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Contact Information

LESLIE A MACK, ARNP
2090 S OHIO ST
SUITE 3W
SALINA, KS67401
 Phone: 785-309-2323
 Fax: 785-309-2331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LESLIE A MACK · (Female)

NPI Number 1508172552
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 08/27/2010
Last updated 03/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 13-71194-071
  • KS License # 53-75191-071
  • KS Medicaid 200743910D
Hospital affiliation(s)
  • MEMORIAL HOSPITAL - (Critical Access)
    511 NE 10TH ST
    ABILENE, KS 67410
  • SALINA REGIONAL HEALTH CENTER - (Acute Care)
    400 SOUTH SANTA FE AVENUE
    SALINA, KS 67401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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