Kinnard J Leatham in Wilkes Barre - Surgery
Kinnard J Leatham - NPI 1780630392
Kinnard J Leatham is a Surgery in Wilkes Barre, Pennsylvania. Kinnard J Leatham practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kinnard J Leatham is 1780630392. The last update date is 2016-12-05.
Kinnard J Leatham's current location address is 545 N River St, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5705522760 and fax number 5705522765. The mailing address for Kinnard J Leatham is 545 N River St, Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kinnard J Leatham |
|---|---|
| Address | 545 N River St, Wilkes Barre, Pennsylvania |
| Phone Number | 5705522760 |
| Fax Number | 5705522765 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780630392 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2016-12-05 |
Provider Mailing Address Detail
| Address | 545 N River St |
|---|---|
| City | Wilkes Barre |
| State | Pennsylvania (PA) |
| Post Code | 187022600 |
| Phone Number | 5705522760 |
| Fax Number | 5705522765 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MA079207 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39381 | NJ | -- | |
| 1087117 | NJ | AETNA | |
| 18088940006 | PA | -- | |
| 2404983000 | NJ | AMERIHEALTH | |
| P3624813 | NJ | OXFORD |
Post Comment/ Review Below
What is the unique identifier code issued to Kinnard J Leatham by the Centers for Medicare & Medicaid Services?
The Kinnard J Leatham has been assigned the NPI (National Provider Identifier) 1780630392. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kinnard J Leatham?
The Kinnard J Leatham is situated at 545 N River St, in the city of Wilkes Barre, state of PA, with the zip code 187022600.
What is the area of specialization for Kinnard J Leatham, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kinnard J Leatham is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780630392 to Kinnard J Leatham?
The Centers for Medicare & Medicaid Services assigned the 1780630392 to Kinnard J Leatham on 2006-05-25.
When was the information pertaining to Kinnard J Leatham most recently updated or revised?
The details related to Kinnard J Leatham, including its address, specialty, and other relevant information, were last updated or revised on 2016-12-05.