Individual
KENNETH J LEOPOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E 8TH ST, SUITE 120, MARIETTA, OH 45750-3379
(740) 374-4273
(740) 376-5098
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-04-2274
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052657000
—
WV
05
—
0433061
—
OH
Enumeration date
03/09/2006
Last updated
08/11/2020
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