Individual
KATHLEEN MARIE LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
882 M 72 NW, KALKASKA, MI 49646-8787
(231) 258-9781
Mailing address
369 KRATKY DR, TRAVERSE CITY, MI 49696-1181
(231) 590-3690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005239
MI
Other
Enumeration date
05/22/2019
Last updated
09/22/2020
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