Leisinger, Kevin Jeffrey

Leisinger, Kevin Jeffrey is an individual health care provider with primary practice located at 11851 Detroit Ave , Lakewood OH 44107-3016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leisinger, Kevin Jeffrey can be contacted via phone (216) 529-7125.

Contact Information

Primary practice address
11851 Detroit Ave Lakewood OH 44107-3016
Phone: (216) 529-7125
Fax: (216) 529-7196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.093914 Ohio

Profile Details

NPI number 1962622878
LBN Legal business name Leisinger, Kevin Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Feb 5th, 2013 - about 11 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 1962622878 NPPES
Ohio MEDICAID 2983357

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