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Individual

KRISTEN LEAHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3309 45TH STREET CT, GIG HARBOR, WA 98335-8222
(253) 858-8688
Mailing address
136 E SOUTH TEMPLE, SALT LAKE CITY, UT 84111-1180

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
AP61445168
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61445168
WA

Other

Enumeration date
06/13/2024
Last updated
06/17/2024
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