Provider Demographics
NPI:1104357813
Name:HIGH, LEIGHA CAROLAND (MD)
Entity Type:Individual
Prefix:
First Name:LEIGHA
Middle Name:CAROLAND
Last Name:HIGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 NICHOLASVILLE RD STE 702
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1467
Mailing Address - Country:US
Mailing Address - Phone:859-260-2585
Mailing Address - Fax:859-260-2580
Practice Address - Street 1:1700 NICHOLASVILLE RD STE 702
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1467
Practice Address - Country:US
Practice Address - Phone:859-260-2585
Practice Address - Fax:859-260-2580
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2021-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
KYTP328207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program