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NPI Code Detail

MEDICARE: MRS. LEIGH ANN GEBHARDT APRN

MEDICARE: MRS. LEIGH ANN GEBHARDT APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3012236KY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner3012236KY

General Provider Information

NPI Number : 1346720968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEIGH ANN GEBHARDT APRN
Provider Business Mailing Address
First Line : PO BOX 776351
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6351
Country : US
Telephone Number : 502-272-5063
Fax Number : 502-272-5339
Provider Business Practice Location Address
First Line : 1030 MONARCH ST STE 100
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1820
Country : US
Telephone Number : 859-296-3141
Fax Number : 859-296-3144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 02/10/2023

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