Individual
KEVIN PATRICK LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5180
(215) 829-5168
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5180
(215) 829-5168
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD434613
MD
207Y00000X
Otolaryngology Physician
MD434613
PA
Other
Enumeration date
02/05/2007
Last updated
03/28/2012
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