IndividualActive
Corey Collins
NPI 1205531670 · Licensed Practical Nurse · Leavenworth, KS
Provider details
- NPI number
- 1205531670
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 23-49469-052 (KS)
Specialties & taxonomies
Nursing Service Providers
Practice location
4101 S 4th St
Leavenworth, KS 66048-5014
Phone: (913) 682-2000
Approximate (ZIP-level) locationGet directions
Mailing address
2801 Francis Ave
Leavenworth, KS 66048-4198
Registry dates
- Enumerated
- 2023-04-04
- Last updated
- 2023-04-04
- Certified
- 2023-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.