| Doctor Name: | KRISTINE WADE LEATHERBERRY |
| NPI Number: | 1972610434 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A90322 |
| Business Practice Address: | 23625 Holman Hwy Monterey, CA - 939405902 |
| Business Phone Number: | 8316245311 |
| Business Fax Number: | 8316254948 |
| Mailing Address: | Po Box Hh, Business Development & Contracting MONTEREY |
| State: | CA |
| Postal Code: | 939426032 |
| Phone Number: | 8316222716 |
| Fax Number: | 8316254764 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | A90322 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |