Active NPIIndividual provider

Kristina E Leedham, PA-C

Physician Assistant in Plymouth, Massachusetts

NPI Number1992045165
Practice location
51 Obery St, Plymouth, MA 02360-2129
Fax
508-732-6780
Last updated
January 7, 2026

Kristina E Leedham is a Physician Assistant based in Plymouth, MA. Kristina E Leedham practices in Plymouth, MA and has the professional credentials of PA-C. The NPI Number for Kristina E Leedham is 1992045165 and holds a License No. 64558 (CA). The current practice location address for Kristina E Leedham is 51 Obery St, Plymouth, MA 02360-2129 and can be reached out via phone at 508-732-6770 and via fax at 508-732-6780.

Provider Profile Details

NPI Number
1992045165
Provider Name
Kristina E Leedham
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
51 Obery St, Plymouth, MA 02360-2129
Phone Number
508-732-6770
Fax Number
508-732-6780
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 25, 2013
Last Update Date
January 7, 2026
Certification Date
January 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Obery St
Plymouth, MA 02360-2129
Zip
02360-2129
Phone Number
508-732-6770
Fax Number
508-732-6780
Plymouth, MA 02360Get directions →

Provider Business Mailing Address Details

Address
910 Washington St Ste 200
Dedham, MA 02026-6033
City
Dedham
State
MA
Zip
02026-6033
Phone Number
781-762-0471
Fax Number
781-762-8072

License Information

License Number (1)
64558
License State (1)
CA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA4563
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristina E Leedham, PA-C?

The NPI number of Kristina E Leedham, PA-C is 1992045165. It was assigned on February 25, 2013 and is currently active in the NPPES registry.

What is the specialty of Kristina E Leedham, PA-C?

Kristina E Leedham, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CA under license number 64558.

Where does Kristina E Leedham, PA-C practice?

The practice location is 51 Obery St, Plymouth, MA 02360-2129. The office can be reached at 508-732-6770 (phone) or 508-732-6780 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992045165 directly on the NPPES registry website.

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