Healthcare Provider Details

I. General information

NPI: 1124312756
Provider Name (Legal Business Name): LEAH ANNE KAYE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2011
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5365 S DURANGO DR
LAS VEGAS NV
89113-2500
US

IV. Provider business mailing address

5365 S DURANGO DR
LAS VEGAS NV
89113-2500
US

V. Phone/Fax

Practice location:
  • Phone: 702-254-1777
  • Fax:
Mailing address:
  • Phone: 702-254-1777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number18069
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number54184
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: