Healthcare Provider Details

I. General information

NPI: 1275913014
Provider Name (Legal Business Name): KATHLEEN MICHELLE LEAHY M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2015
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 COLUMBIAN ST
WEYMOUTH MA
02190-1601
US

IV. Provider business mailing address

101 COLUMBIAN ST
WEYMOUTH MA
02190-1601
US

V. Phone/Fax

Practice location:
  • Phone: 781-624-5000
  • Fax: 781-624-4840
Mailing address:
  • Phone: 781-624-5000
  • Fax: 781-624-4840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number288208
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number288208
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: