Provider Demographics
NPI:1801886007
Name:MITCHELL, LEAH S (MD)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:S
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1720 NICHOLASVILLE RD
Mailing Address - Street 2:STE 702
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1404
Mailing Address - Country:US
Mailing Address - Phone:859-264-8811
Mailing Address - Fax:859-264-8822
Practice Address - Street 1:830 S LIMESTONE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1404
Practice Address - Country:US
Practice Address - Phone:859-323-2778
Practice Address - Fax:859-257-8708
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2022-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY35841207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64085535Medicaid
H90802Medicare UPIN
KY64085535Medicaid
KY0325016Medicare ID - Type Unspecified