Individual
KAREN ANN LEASOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
323 CENTER ST, NEW HAVEN, KY 40051-6319
(502) 350-5191
(502) 349-6599
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3007743
KY
363LF0000X
Family Nurse Practitioner
Primary
3007743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3007743
KENTUCKY STATE MEDICAL LICENSE
KY
05
—
7100223570
—
KY
05
—
78903556
—
KY
Enumeration date
10/19/2012
Last updated
07/25/2016
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