Organization
KIRK W LEININGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI JONES (MANANGER)
(801) 357-2725
Entity
Organization
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8818
(801) 357-8817
Mailing address
PO BOX 944, AMERICAN FORK, UT 84003-0944
(801) 357-2725
(801) 357-8817
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5405900-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
549777649001
—
UT
Enumeration date
09/07/2007
Last updated
09/07/2007
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