Provider Demographics
NPI:1396855037
Name:CALLAHAN, LEIGH ANN P (MD)
Entity Type:Individual
Prefix:
First Name:LEIGH ANN
Middle Name:P
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:740 S. LIMESTONE ST., L543 KY CLINIC
Mailing Address - Street 2:UNIVERSITY OF KENTUCKY-DIVISION OF PULMONARY
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-323-5045
Mailing Address - Fax:859-257-2418
Practice Address - Street 1:800 ROSE STREET
Practice Address - Street 2:UNIVERSITY OF KENTUCKY - DIVISION OF PULMONARY
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:859-323-5045
Practice Address - Fax:859-257-2418
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2014-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA028033207RP1001X
KY41029207RP1001X, 207RC0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000452262BMedicaid
KY710000760Medicaid
SCG28033Medicaid
SCG28033Medicaid
KY710000760Medicaid
GA000452262BMedicaid