Individual provider · Type 1 NPI

Charles Ryan Leibold, MD

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1316798945 Active

Practice location

110 Conn Ter Ste 550
Lexington, KY 40508-3206

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316798945

Charles Ryan Leibold, MD's National Provider Identifier is 1316798945, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Apr 1, 2024.