Provider Demographics
NPI:1679979991
Name:LEINHOS, KRISTA (CPHT)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:LEINHOS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1257 PAIUTE CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3202
Mailing Address - Country:US
Mailing Address - Phone:702-382-0784
Mailing Address - Fax:
Practice Address - Street 1:1257 PAIUTE CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3202
Practice Address - Country:US
Practice Address - Phone:702-382-0784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPT14491183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician