Individual
LEON H KIRCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1169 EASTERN PKWY 2310, LOUSIVILLE, KY 40217
(502) 456-2783
(502) 456-2728
Mailing address
1169 EASTERN PKWY 2310, LOUSIVILLE, KY 40217
(502) 451-9000
(502) 456-2728
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
31894
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64318942
—
KY
Enumeration date
10/03/2006
Last updated
03/20/2020
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