MEDICARE: LEAH M. TRIPLETT D.O.

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
1	207RR0500X	Rheumatology Physician	1818	WV

General Provider Information

NPI Number	:	1679500532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH M. TRIPLETT D.O.

Provider Business Mailing Address
First Line	:	1120 KANAWHA BLVD E STE 200
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25301-2400
Country	:	US
Telephone Number	:	304-400-4900
Fax Number	:	304-400-4907

Provider Business Practice Location Address
First Line	:	1120 KANAWHA BLVD E STE 200
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25301-2400
Country	:	US
Telephone Number	:	304-400-4900
Fax Number	:	304-400-4907

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	01/21/2026

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