Provider Demographics
NPI:1275595191
Name:LEANING, KATHARINE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:ELIZABETH
Last Name:LEANING
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 1:1100 TRANCAS ST STE 270
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2921
Mailing Address - Country:US
Mailing Address - Phone:707-252-1076
Mailing Address - Fax:707-252-4764
Practice Address - Street 1:1100 TRANCAS ST STE 270
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2921
Practice Address - Country:US
Practice Address - Phone:707-252-1076
Practice Address - Fax:707-252-4764
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73830208000000X
WA45305208M00000X
OR26222208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
H67843Medicare UPIN