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NPI Code Detail

MEDICARE: MEREDITH ADAIR LEACH M.D.

MEDICARE: MEREDITH ADAIR LEACH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician2004030338MO
2207P00000XEmergency Medicine Physician2004030338MO

General Provider Information

NPI Number : 1518947696
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH ADAIR LEACH M.D.
Provider Business Mailing Address
First Line : 3107 NE 91ST TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64156-1072
Country : US
Telephone Number : 816-695-9691
Fax Number :
Provider Business Practice Location Address
First Line : 1700 RAINBOW BLVD
Second Line :
City : EXCELSIOR SPRINGS
State : MO
Zip : 64024-1182
Country : US
Telephone Number : 816-630-6081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 04/06/2020

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Directions to “ MEREDITH ADAIR LEACH M.D.” Practice Location

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