Individual
MARION J LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
784 HIGHWAY 36, FRENCHBURG, KY 40322-8123
(606) 768-9190
(606) 768-9180
Mailing address
784 HIGHWAY 36, FRENCHBURG, KY 40322-8123
(606) 768-9190
(606) 768-9180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4215P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183949
RURAL HEALTH MEDICARE
KY
01
—
35002021
RURAL HEALTH MEDICAID
KY
05
—
35002021
—
KY
05
—
65945198
—
KY
05
—
78010998
—
KY
Enumeration date
08/04/2006
Last updated
01/14/2015
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