Provider Demographics
NPI:1093701252
Name:LEADBITTER, KAREN DELLINGER (FNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:DELLINGER
Last Name:LEADBITTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3069 PORTSMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1509
Mailing Address - Country:US
Mailing Address - Phone:919-673-1196
Mailing Address - Fax:
Practice Address - Street 1:7502 STATE RD
Practice Address - Street 2:SUITE 4400
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-2596
Practice Address - Country:US
Practice Address - Phone:513-272-9725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC154576363LF0000X
OHCOA.11882-NP363LF0000X
KY3006830363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2804660AMedicare UPIN