Individual
KENT G LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 116TH AVE NE STE 450, BELLEVUE, WA 98004-4623
(425) 450-6990
(425) 450-8807
Mailing address
2285 116TH AVE NE, BELLEVUE, WA 98004-3015
(425) 426-2880
(425) 450-9696
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00028489
WA
207WX0120X
Cornea and External Diseases Specialist Physician
MD00028489
WA
Other
Enumeration date
06/09/2005
Last updated
10/08/2019
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