Provider Demographics
NPI:1437320991
Name:KENNEDY, LEIGH A (DO)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:A
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S. 8TH STREET
Mailing Address - Street 2:STE. 1B, DUNCAN BLDG.
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4015
Mailing Address - Country:US
Mailing Address - Phone:215-829-5354
Mailing Address - Fax:215-829-7132
Practice Address - Street 1:301 S. 8TH STREET
Practice Address - Street 2:STE. 1B, DUNCAN BLDG.
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4015
Practice Address - Country:US
Practice Address - Phone:215-829-5354
Practice Address - Fax:215-829-7132
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012197207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease