Healthcare Provider Details
I. General information
NPI: 1154241198
Provider Name (Legal Business Name): MS. CATHERINE ELIZABETH LEONARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
475 S 50TH ST STE 600
WEST DES MOINES IA
50265-6979
US
IV. Provider business mailing address
620 NE ALICES RD APT 11
WAUKEE IA
50263-8848
US
V. Phone/Fax
- Phone: 515-218-1399
- Fax:
- Phone: 712-249-9728
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | A192685 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: