Individual
KENNETH ROBERT LEYMEISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
708 DEL PRADO BLVD S STE 3, CAPE CORAL, FL 33990-2676
(239) 343-9960
(239) 424-4006
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9960
(239) 424-4006
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
MA003414L
PA
363AS0400X
Surgical Physician Assistant
Primary
PA9116539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117306700
—
FL
Enumeration date
05/02/2007
Last updated
03/30/2026
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