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Individual

DR. KENDALL BLAINE LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-1233
(910) 695-2282
Mailing address
90 LAKE DORNOCH DR, PINEHURST, NC 28374-7109
(910) 715-1233

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2016-00829
NC
207R00000X
Internal Medicine Physician
0116024038
VA
390200000X
Student in an Organized Health Care Education/Training Program
VA

Other

Enumeration date
02/21/2012
Last updated
06/23/2016
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