Provider Demographics
NPI:1851558944
Name:KERNS, LEIGH ANN (MD)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:KERNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:ANN
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9500 EUCLID AVE # R3
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-6340
Mailing Address - Fax:216-442-5975
Practice Address - Street 1:9500 EUCLID AVE # R3
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-1716
Practice Address - Country:US
Practice Address - Phone:216-444-6340
Practice Address - Fax:216-442-5975
Is Sole Proprietor?:No
Enumeration Date:2008-05-18
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0916492080P0201X
OH35-0916492080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022409670001Medicaid
OH2901604Medicaid
OH2901604Medicaid