Individual
KEVIN A LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
406S 30TH AVE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166
Mailing address
406S 30TH AVE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
160949-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60591499
WA
367500000X
Certified Registered Nurse Anesthetist
R146353-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
537475800
—
MN
Enumeration date
02/06/2006
Last updated
10/27/2015
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