Healthcare Provider Details

I. General information

NPI: 1013345321
Provider Name (Legal Business Name): LEANNE MCKEOWN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEANNE RAE SZAFRANSKI

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 CHESTNUT ST FIFTH FLOOR
PHILADELPHIA PA
19107-4216
US

IV. Provider business mailing address

925 CHESTNUT ST FL 5
PHILADELPHIA PA
19107-4206
US

V. Phone/Fax

Practice location:
  • Phone: 267-339-3500
  • Fax: 215-503-0580
Mailing address:
  • Phone: 267-339-3500
  • Fax: 215-503-0580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00445800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number25MT00079800
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberRT001968A
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: