Provider Demographics
NPI:1326034133
Name:LINDSEY, LEIGH K (CNM)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:K
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PARK ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-1784
Mailing Address - Country:US
Mailing Address - Phone:270-781-0075
Mailing Address - Fax:270-467-0413
Practice Address - Street 1:350 PARK ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1784
Practice Address - Country:US
Practice Address - Phone:270-781-0075
Practice Address - Fax:270-467-0413
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY4115M367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78011087Medicaid
KY78011087Medicaid