Dr. Wilson W Leake , MD
Specialist • Kennewick, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wilson Leake has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Wilson Leake, MD was a registered Specialist practicing in Kennewick, WA. Throughout an active medical career spanning 13 years, Dr. Leake provided care at the practice location at 3532 S FISHER CT until profile deactivation on 2022-06-09.
Practice Location & Contact Primary Location
3532 S Fisher Ct
Kennewick, WA 993372559
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Kennewick, WA
Practicing in Kennewick, WA (2751 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 09, 2022
NPI status registered as active in NPPES database
Registered at 3532 S FISHER CT, KENNEWICK, WA 993372559 (Tel: 5095862424)
Registered at 3532 S FISHER CT, KENNEWICK, WA 993372559 (Tel: 5095862424)
Recorded as WILSON LEAKE, M.D.
Specialist (License #MD 00005779 in WA)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
3532 S Fisher Ct
Kennewick, WA 993372559
Phone: 5095862424
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