DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIERSTIN LEALIIEE

Active Sole Proprietor

Family Medicine · GOLD CANYON, AZ

Registration Details

NPI Number
1124644182
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2020 (5.8536676685494 yrs)
Last Updated
Feb 17, 2025
Licenses
PA2437 (NV)
11959125-1206 (UT)
10838 (AZ)
Sole Proprietor
Yes

Practice Information

Address
6410 S KINGS RANCH RD STE 1
GOLD CANYON, AZ, 851187352
Browse AZ providers · Browse ZIP 85118
Phone
4807612500
Fax
4802882879
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Family Medicine

Other Family Medicine Providers in GOLD CANYON, AZ

Name Credential NPI
BOBBI D LANCASTER MD 1295729853
DR. ROBERT C ALLEN M.D. 1639195977
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.