JENNIFER L LEEPER, PA, Surgical PRATT, KS

Contact Information

JENNIFER L LEEPER, PA

124 COMMODORE ST
STE B
PRATT, KS 67124-2993

Phone: 620-672-6454
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgical	363AS0400X	97	Physician Assistant
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JENNIFER L LEEPER · (Female)

NPI #	`1952595118`
Status	Active
Credentials	PA (Physician Assistant)
Entity	Individual
Enumeration date	08/30/2007
Last updated	10/01/2014 - About 12 years ago
Sole proprietor ¹	No
Identifiers	KS License # 1501224 KS License # T-01537 KS Medicaid 200477850B
Hospital affiliation(s)	PRATT REGIONAL MEDICAL CENTER - (Acute Care) 200 COMMODORE ST PRATT, KS 67124

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JENNIFER L LEEPER, PA – NPI #1952595118Surgical

Contact Information

Specialty

Surgical

Physician Assistant

NPI Profile & details for JENNIFER L LEEPER · (Female)

Reviews for JENNIFER L LEEPER

JENNIFER L LEEPER, PA – NPI #1952595118
Surgical