Individual
KEVIN J LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E PARKER RD, MORGANTON, NC 28655-5107
(828) 433-1235
(828) 433-1992
Mailing address
2201 S STERLING ST, BLUE RIDGE HEALTHCARE, MORGANTON, NC 28655-4044
(828) 580-6900
(828) 580-6909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5087
NC
2085R0202X
Diagnostic Radiology Physician
MD040028E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012467200005
—
PA
05
—
5913910
—
NC
Enumeration date
08/30/2005
Last updated
09/26/2012
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