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NPI Code Detail

MEDICARE: MRS. FRANCIS LEONARD P.A.C

MEDICARE: MRS. FRANCIS LEONARD P.A.C
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
1363A00000XPhysician AssistantPA-225KY

General Provider Information

NPI Number : 1376020388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FRANCIS LEONARD P.A.C
Provider Business Mailing Address
First Line : 615 WASHINGTON ST
Second Line :
City : SHELBYVILLE
State : KY
Zip : 40065-1131
Country : US
Telephone Number : 502-647-4668
Fax Number : 502-467-4615
Provider Business Practice Location Address
First Line : 615 WASHINGTON ST
Second Line :
City : SHELBYVILLE
State : KY
Zip : 40065-1131
Country : US
Telephone Number : 502-647-4668
Fax Number : 502-467-4615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2018
Last Update Date : 07/23/2018

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