Healthcare Provider Details

I. General information

NPI: 1629342308
Provider Name (Legal Business Name): LEON FRANK KEHRER II APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2012
Last Update Date: 07/24/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5925 OLD HWY 60 WEST SUITE D
PADUCAH KY
42001
US

IV. Provider business mailing address

5925 OLD HWY 60 WEST SUITE D
PADUCAH KY
42001
US

V. Phone/Fax

Practice location:
  • Phone: 270-228-0118
  • Fax: 270-228-0120
Mailing address:
  • Phone: 270-228-0118
  • Fax: 270-228-0120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209008816
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3008001
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: