Kirby Ryan Leighty in Rapid City - Physician Assistant

Kirby Ryan Leighty - NPI 1407865157

Kirby Ryan Leighty is a Physician Assistant in Rapid City, South Dakota. Kirby Ryan Leighty practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kirby Ryan Leighty is 1407865157. The last update date is 2019-10-30.

Kirby Ryan Leighty's current location address is 7220 Mount Rushmore Rd, Rapid City, South Dakota. You can contact this provider via phone number 6053411414. The mailing address for Kirby Ryan Leighty is 7220 Mount Rushmore Rd, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirby Ryan Leighty
Address 7220 Mount Rushmore Rd, Rapid City, South Dakota
Phone Number 6053411414
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1407865157
Provider Enumeration Date 2006-08-05
Last Updated Date 2019-10-30

Provider Mailing Address Detail

Address 7220 Mount Rushmore Rd
City Rapid City
State South Dakota (SD)
Post Code 577028754
Phone Number 6053411414
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 624
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00352296 MEDICARE RAILROAD PTAN
6828030 SD --

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FAQs about Kirby Ryan Leighty

What is the unique 10-digit identifier code assigned to Kirby Ryan Leighty by the Centers for Medicare & Medicaid Services?

The Kirby Ryan Leighty has been issued the NPI (National Provider Identifier) 1407865157 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Kirby Ryan Leighty is located?

The Kirby Ryan Leighty is situated at the following address: 7220 Mount Rushmore Rd, Rapid City, SD, 577028754.

What is Kirby Ryan Leighty's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kirby Ryan Leighty's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Kirby Ryan Leighty receive the assignment of its 1407865157 from the Centers for Medicare & Medicaid Services?

The Kirby Ryan Leighty was issued its 1407865157 by the Centers for Medicare & Medicaid Services on 2006-08-05.

When was the information pertaining to Kirby Ryan Leighty most recently updated or revised?

The details related to Kirby Ryan Leighty, including its address, specialty, and other relevant information, were last updated or revised on 2019-10-30.

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