Healthcare Provider Details

I. General information

NPI: 1689587982
Provider Name (Legal Business Name): KARI LEIGHTY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13080 ROUTE 6
CORRY PA
16407-8988
US

IV. Provider business mailing address

1112 SONMAN AVE
PORTAGE PA
15946-1934
US

V. Phone/Fax

Practice location:
  • Phone: 814-438-6020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW144714
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: