PREMISE HEALTH OF ALABAMA MEDICAL P.C. NPI 1093386062

NPI Information

PREMISE HEALTH OF ALABAMA MEDICAL, P.C. is a multi-specialty clinic center in Leesburg, AL. PREMISE HEALTH OF ALABAMA MEDICAL, P.C. NPI is 1093386062. The provider is registered as an organization entity type.
The provider Is Doing Business As Klp Wellness Center.

The provider's business location address is:

5640 WEISS LAKE BLVD
LEESBURG, AL
ZIP 35983-505
Phone: (256) 526-8990
Fax: (256) 526-8990

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 7/9/2021 and was last updated on 8/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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