Individual
RONALD ALLEN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11630 COMMONWEALTH DR, LOUISVILLE, KY 40299-2300
(502) 267-6292
(502) 267-7104
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1980
KY
Other
Enumeration date
03/29/2007
Last updated
08/25/2017
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