Provider Demographics
NPI:1558537407
Name:LEONARD, KAREN MARGARET (DPM)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARGARET
Last Name:LEONARD
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 FLOWERS DR
Mailing Address - Street 2:SUITE #2
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-1709
Mailing Address - Country:US
Mailing Address - Phone:717-620-8225
Mailing Address - Fax:
Practice Address - Street 1:4 FLOWERS DR
Practice Address - Street 2:SUITE #2
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1709
Practice Address - Country:US
Practice Address - Phone:717-620-8225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO60019048213E00000X
NY006333213ES0103X
PASC005840213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8521320Medicaid
NY03163384Medicaid
WA8521320Medicaid
NYJ400006951Medicare PIN