Kimberly Ellen Leake
Hospice and Palliative Medicine
550 S Jackson St Fl 3
Louisville
, Kentucky 40202
Kimberly Ellen Leake
Hospice and Palliative Medicine
550 S Jackson St Fl 3
Louisville
, Kentucky 40202
(502) 588-4720
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About
Features
Specialties
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Kimberly Ellen Leake
- Po Box 909
- Louisville, KY
- Zip : 40201-0909
- Phone : (502) 588-4720
Second Address
- Kimberly Ellen Leake
- 550 S Jackson St Fl 3
- Louisville, KY
- Zip : 40202
- Phone : (502) 852-5241
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0002X | Hospice and Palliative Medicine | 49311 | KY |
National Provider Identifier
| NPI | 1033557848 |
|---|---|
| Provider Name | Kimberly Ellen Leake |
| First Address | Louisville, KY 40201-0909 |
| Second Address | Louisville, KY 40202 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2013 |
| Last Update Date | 04/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300017915 | (05) | IN |
| 7100307820 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.