Healthcare Provider Details

I. General information

NPI: 1851558944
Provider Name (Legal Business Name): LEIGH ANN KERNS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEIGH ANN WEST MD

II. Dates (important events)

Enumeration Date: 05/18/2008
Last Update Date: 10/25/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # R3
CLEVELAND OH
44195-1716
US

IV. Provider business mailing address

9500 EUCLID AVE # R3
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-6340
  • Fax: 216-442-5975
Mailing address:
  • Phone: 216-444-6340
  • Fax: 216-442-5975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number091649
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number35-091649
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: