KENNETH LEONG MD
NPI 1740800499
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Kenneth Leong's NPI number?

The NPI number for Kenneth Leong is 1740800499. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Q: What is Kenneth Leong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Leong was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2020PECOS Enrolled

4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201(313) 745-6047 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kenneth Leong Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH LEONG MD (NPI 1740800499) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740800499

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKENNETH LEONGCredential: MD

Location Address4201 SAINT ANTOINE ST # 9CDetroit, MI 48201-2153

Mailing Address15411 Se 4th StBellevue, WA 98007-5315 · (206) 992-7215

Phone(313) 745-6047

Sole ProprietorYes

Enumeration DateApril 23, 2020

NPPES CertifiedApril 23, 2020

✔ NPI 1740800499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 SAINT ANTOINE ST # 9C, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Leong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHANIE NICOLE STEVENS MD

Anesthesiology