Provider Demographics
NPI:1740158021
Name:LEACH, APRYL KIMKISHA (LPN)
Entity type:Individual
Prefix:MRS
First Name:APRYL
Middle Name:KIMKISHA
Last Name:LEACH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 SALEM RD
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-7916
Mailing Address - Country:US
Mailing Address - Phone:910-861-0400
Mailing Address - Fax:
Practice Address - Street 1:921 S 401 BYPASS HWY
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5089
Practice Address - Country:US
Practice Address - Phone:910-861-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC49851164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse