Individual
DR. KIERON S. LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 DIVISADERO ST, SAN FRANCISCO, CA 94115-3011
(415) 206-8680
(415) 206-4317
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F5268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00F52680
—
CA
Enumeration date
05/12/2006
Last updated
09/11/2008
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