Individual
DR. KEITH LAMONT LEAPHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
76 RITTENHOUSE PL, SUITE 201, ARDMORE, PA 19003-2243
(484) 416-3568
Mailing address
6319 LANCASTER AVE, PHILADELPHIA, PA 19151-2620
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS 013163
PA
Other
Enumeration date
04/02/2007
Last updated
06/17/2009
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