Individual
ALBERT E LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5129 DIXIE HWY, LOUISVILLE, KY 40216-1727
(502) 447-3242
(502) 448-4722
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 447-3242
(502) 448-4722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17976
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100468890
—
KY
Enumeration date
08/12/2005
Last updated
03/20/2018
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