Provider Demographics
NPI:1073101630
Name:CHE, LEIA RENEE TARBOX (MPAS, PA-C)
Entity type:Individual
Prefix:
First Name:LEIA
Middle Name:RENEE TARBOX
Last Name:CHE
Suffix:
Gender:
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:LEIA
Other - Middle Name:RENEE
Other - Last Name:TARBOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16538 W 159TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3924
Mailing Address - Country:US
Mailing Address - Phone:913-355-8660
Mailing Address - Fax:
Practice Address - Street 1:16538 W 159TH TER
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3924
Practice Address - Country:US
Practice Address - Phone:913-355-8660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021006544207X00000X
363A00000X
KS15-02946363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty