Michelle Jo Leathers M.D.

NPI 1093797185 - Family Medicine - 207Q00000X

NPI Details
NPI 1093797185
Gender Female
Enumeration Date 11/15/2005
Last Updated 02/16/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
325 W WALNUT ST
LEBANON KY, 40033-1377, US
Phone (270) 699-9500
Fax (270) 699-9550
Business Location
325 W WALNUT ST
LEBANON KY, 40033-1377, US
Phone (270) 699-9126
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Kentucky
License Number 37700
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According to our database, Dr. Michelle Jo Leathers M.D. NPI is 1093797185, taxonomy code is 207Q00000X and license number is 37700, license state is located at Kentucky. Michelle Jo Leathers M.D. physically located at 325 W Walnut St, Lebanon KY, 40033-1377. NPI Number Michelle Jo Leathers M.D. has the Individual type.

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1093797185 NPI number is provided on an as is basis without warranty of any kind. 1093797185 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Jo Leathers M.D. are for informational purposes only.