Provider Demographics
NPI:1336669738
Name:LEPPERT, KRISTEN ALEXA (MGC)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ALEXA
Last Name:LEPPERT
Suffix:
Gender:F
Credentials:MGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 ORLEANS ST.
Mailing Address - Street 2:NELSON 250
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-955-3019
Mailing Address - Fax:
Practice Address - Street 1:1800 ORLEANS ST.
Practice Address - Street 2:NELSON 250
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-3019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS