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Kerron Leache, B.A

NPI 1225357890 · on the registry since 2010 · sole proprietor

Practice

Address
16211 N May Ave Ste 126
Edmond, OK 73013
Phone
(405) 999-3384
Fax
(405) 963-4420

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma