Provider Demographics
NPI:1831183300
Name:LEAMAN, KRISTINE M (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:M
Last Name:LEAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-721-5700
Mailing Address - Fax:717-715-1296
Practice Address - Street 1:175 MARTIN AVE STE 125
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1761
Practice Address - Country:US
Practice Address - Phone:717-721-5700
Practice Address - Fax:717-715-1296
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD072062L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101466128Medicaid
PAI42150Medicare UPIN
PA094745Medicare PIN