# INDEPENDENT ANESTHESIOLOGISTS OF KITSAP CO

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

## Provider details

- **NPI number:** 1285795815
- **Authorized official:** MR. JEFFREY PARK LEAKE MD (PRESIDENT)
- **Authorized official phone:** (360) 479-0809

## Contact information

- **Practice address:** 2025 WHEATON WAY, SUITE 102, BREMERTON, WA 98310-4300
- **Practice address phone:** (360) 479-0809
- **Practice address fax:** (360) 377-3577
- **Mailing address:** 2025 WHEATON WAY, SUITE 102, BREMERTON, WA 98310-4300
- **Mailing address phone:** (360) 479-0809
- **Mailing address fax:** (360) 377-3577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 601433588 | WA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 05/23/2008