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Individual

DR. KYLE ALLEN LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 949-3186
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 949-3186

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR.0060831
CO
390200000X
Student in an Organized Health Care Education/Training Program
TX

Other

Enumeration date
05/01/2014
Last updated
09/05/2019
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