Healthcare Provider Details

I. General information

NPI: 1851264055
Provider Name (Legal Business Name): LEAH KUIPERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 N KANAWHA ST
BUCKHANNON WV
26201-2714
US

IV. Provider business mailing address

28 N KANAWHA ST
BUCKHANNON WV
26201-2714
US

V. Phone/Fax

Practice location:
  • Phone: 304-472-0528
  • Fax: 304-472-6424
Mailing address:
  • Phone: 304-472-0528
  • Fax: 304-472-6424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: