Individual
KRISTINA ANN LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 S TRYON ST UNIT 201, CHARLOTTE, NC 28203-5031
(704) 316-3000
(704) 316-3001
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 367-4963
(704) 316-2558
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
140987
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011-00385
NC LICENSE
NC
05
—
5918497
—
NC
Enumeration date
06/12/2007
Last updated
03/25/2026
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