Individual
KEVIN LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
332 N TRADE ST # 1500, MATTHEWS, NC 28105-1728
(704) 512-6820
Mailing address
332 N TRADE ST # 1500, MATTHEWS, NC 28105-1728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102207110
VA
Other
Enumeration date
03/29/2019
Last updated
09/11/2024
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