| Doctor Name: | MRS. KIMBERLY S LEYENDECKER |
| NPI Number: | 1063477685 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 1535762 |
| Business Practice Address: | 1395 S State Road 7 Suite 450 Wellington, FL - 334149325 |
| Business Phone Number: | 5617981233 |
| Business Fax Number: | 5617981655 |
| Mailing Address: | 1395 S State Road 7, Suite 450 WELLINGTON |
| State: | FL |
| Postal Code: | 334149325 |
| Phone Number: | 5617981233 |
| Fax Number: | 5617981655 |
| NPI Enumeration Date: | 04/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 1535762 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |