Individual provider · Type 1 NPI

Mary Kay Leach, ARNP

Family Nurse Practitioner · Fort Walton Beach, FL

NPI number 1235199134 Active

Practice location

1000 Mar Walt Dr, Internal Medicine Department
Fort Walton Beach, FL 32547-6708

Call (850) 863-8202 Map

Fax (850) 862-6148

Mailing address

1005 Mar Walt Drive
Fort Walton Beach, FL 32547-6796

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XARNP9196496 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1235199134

Mary Kay Leach, ARNP's National Provider Identifier is 1235199134, issued on Mar 24, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on May 19, 2011.