Individual
DR. MICHAEL GREGORY LEADBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
30840
KY
208200000X
Plastic Surgery Physician
Primary
35040615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240004082
MEDICARE RAILROAD
—
05
—
64762180
—
KY
05
—
O340554
—
OH
Enumeration date
06/14/2006
Last updated
11/01/2011
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