Individual
JOHNATHAN K LECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 RAVENHILL DR STE 100&107, ATCHISON, KS 66002-9204
(913) 367-6671
(913) 367-7297
Mailing address
810 RAVEN HILL DRIVE, ATCHISON, KS 66002
(913) 367-6671
(913) 367-7297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-37513
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289044
PTAN
KS
05
—
10029780300
—
NE
05
—
30004453770001
—
KS
05
—
47055301100
—
NE
Enumeration date
06/28/2013
Last updated
03/12/2026
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