Individual
JOSEPH R. LEITH
Active
Individual
JOSEPH R. LEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-083254
OH
207X00000X
Orthopaedic Surgery Physician
40139
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000501050
ANTHEM
—
01
—
205145374027
CARESOURCE
—
05
—
2636893
—
OH
01
—
40139
KENTUCKY MEDICAL LICENSE
KY
01
—
505145374-00
BWC
OH
01
—
613050500
DEPARTMENT OF LABOR
KY
05
—
64126303
—
KY
01
—
7207794
AETNA
—
01
—
P00401805
RAILROAD MEDICARE
KY
Enumeration date
05/20/2006
Last updated
12/21/2020
Update your record
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