Leach, Kathy Ann

Leach, Kathy Ann is an individual health care provider with primary practice located at 120 Hobart St , Utica NY 13501-4308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leach, Kathy Ann can be contacted via phone (315) 798-1149.

Contact Information

Primary practice address
120 Hobart St Utica NY 13501-4308
Fax: (315) 734-3565
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332015 New York

Profile Details

NPI number 1548250368
LBN Legal business name Leach, Kathy Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Apr 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548250368 NPPES
New York MEDICAID 02327640

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