Leese, Kenneth H

Leese, Kenneth H is an sole proprietor health care provider with primary practice located at 1600 Haddon Ave Wound Care, Camden NJ 08103-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Leese, Kenneth H can be contacted via phone (856) 546-3900.

Contact Information

Primary practice address
1600 Haddon Ave Wound Care Camden NJ 08103-3101
Fax: (856) 546-3908
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA02077500 New Jersey

Profile Details

NPI number 1316964356
LBN Legal business name Leese, Kenneth H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Jan 12th, 2015 - about 10 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 1316964356 NPPES
New Jersey MEDICAID 3034003

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