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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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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.