Individual
DR. TRACY KYLE LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
68 N PECOS RD, STE A, HENDERSON, NV 89074-7339
(702) 456-1441
(702) 456-3901
Mailing address
68 N PECOS RD, STE A, HENDERSON, NV 89074-7339
(702) 456-1441
(702) 456-3901
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0701
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
0701
NV
Other
Enumeration date
10/14/2008
Last updated
03/25/2015
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