Provider Demographics
NPI:1023278157
Name:LEONARD, KARA LYNNE (MD)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYNNE
Last Name:LEONARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:LYNNE
Other - Last Name:KERR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:800 WASHINGTON ST # 1013
Mailing Address - Street 2:TUFTS MEDICAL CENTER RADIATION ONCOLOGY - BOX 359
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:RIH RADIATION ONCOLOGY
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-8311
Practice Address - Fax:401-444-5335
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP017242085R0001X
RIMD142002085R0001X
MA2412512085R0001X
MA2543012085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology