Provider Demographics
NPI:1942597786
Name:KOLEINY, LEILA (DO)
Entity Type:Individual
Prefix:DR
First Name:LEILA
Middle Name:
Last Name:KOLEINY
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 1:600 NW MURRAY RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-1204
Mailing Address - Country:US
Mailing Address - Phone:816-524-2626
Mailing Address - Fax:816-524-0173
Practice Address - Street 1:600 NW MURRAY RD
Practice Address - Street 2:SUITE 210
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-1204
Practice Address - Country:US
Practice Address - Phone:816-524-2626
Practice Address - Fax:816-524-0173
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011017859207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine