# KIRK W LEININGER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245425750
- **Authorized official:** LORI JONES (MANANGER)
- **Authorized official phone:** (801) 357-2725

## Contact information

- **Practice address:** 1034 N 500 W, PROVO, UT 84604-3380
- **Practice address phone:** (801) 357-8818
- **Practice address fax:** (801) 357-8817
- **Mailing address:** PO BOX 944, AMERICAN FORK, UT 84003-0944
- **Mailing address phone:** (801) 357-2725
- **Mailing address fax:** (801) 357-8817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5405900-1205 | UT | Yes |

## Other

- **Enumeration date:** 09/07/2007
- **Last updated:** 09/07/2007