Leap, Keith Edwin

Leap, Keith Edwin is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Leap, Keith Edwin can be contacted via phone (786) 357-9327.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (786) 357-9327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2015-00392 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 31330 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 16953 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 073593 Georgia

Profile Details

NPI number 1003884503
LBN Legal business name Leap, Keith Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 14th, 2024 - about 10 months 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 1003884503 NPPES
North Carolina Other NCR321A MEDICARE PTAN
North Carolina Other NCR321B MEDICARE PTAN
North Carolina Other NCR486A194 MEDICARE PTAN

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