Most Relevant Information
Provider Data
| NPI Number: | 1003486127 |
| Provider Name: | LEAH BRIANNE KINGSWOOD FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 5014599 |
Most Important Dates
| Enumeration Date: | 06/30/2021 |
| Last Updated: | 06/30/2021 |
Provider Practice Location
1450 MATTHEWS TOWNSHIP PKWY STE 350
MATTHEWS
NC
281052388
Practice Location Phone/Fax
| Phone: | 7048418877 |
| Fax: |
Provider Mailing Location
707 SEIGLE AVE APT 611
CHARLOTTE
NC
282045031
Provider Mailing Phone/Fax
| Phone: | 9704435526 |
| Fax: |