Individual
KYLE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 631-8119
Mailing address
10 LAWRENCE DR, BRICK, NJ 08724-4371
(732) 557-1873
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
152309
NJ
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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