LEADING EDGE HEALTHCARE PLLC NPI 1659017499

NPI Information

  • NPI: 1659017499
  • Provider Name: LEADING EDGE HEALTHCARE, PLLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 724 N MONTEZUMA ST STE A
    PRESCOTT, AZ
    ZIP 86301
  • Phone: (928) 925-2871

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NPI Details

LEADING EDGE HEALTHCARE, PLLC is a general practice in Prescott, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LEADING EDGE HEALTHCARE, PLLC NPI is 1659017499. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

724 N MONTEZUMA ST STE A
PRESCOTT, AZ
ZIP 86301-066
Phone: (928) 925-2871

The provider's authorized official is Jacob Kirkeeng .
The authorized official title is Owner Member and has the following contact phone number (928) 925-2871.

The enumeration date for this NPI number is 5/5/2022 and was last updated on 3/22/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalNo
2207R00000XInternal MedicineNo
3208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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