Individual
DR. KEITH C LEATHERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2830 N CLARKSON ST, FREMONT, NE 68025-7718
(402) 721-6333
(402) 721-6320
Mailing address
2830 N CLARKSON ST, FREMONT, NE 68025-7718
(402) 721-6333
(402) 721-6320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18655
NE
208600000X
Surgery Physician
Primary
18655
NE
Other
Enumeration date
07/11/2005
Last updated
09/03/2021
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