Provider Demographics
NPI:1689164865
Name:SEXTON, ARIEL LEANDRA (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:LEANDRA
Last Name:SEXTON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:LEANDRA
Other - Last Name:ABNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:1105 W 5TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-1610
Mailing Address - Country:US
Mailing Address - Phone:606-862-9900
Mailing Address - Fax:
Practice Address - Street 1:1105 W 5TH ST STE 3
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1610
Practice Address - Country:US
Practice Address - Phone:606-862-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY267622213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery