Provider Demographics
NPI:1891729836
Name:VAN DUREN, LEIGH KAREN (MD)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:KAREN
Last Name:VAN DUREN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:KAREN
Other - Last Name:HARKLEROAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5118 PARK AVE,
Mailing Address - Street 2:SUITE 601
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117
Mailing Address - Country:US
Mailing Address - Phone:901-490-5474
Mailing Address - Fax:901-881-5428
Practice Address - Street 1:5118 PARK AVE
Practice Address - Street 2:SUITE 601
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117
Practice Address - Country:US
Practice Address - Phone:901-490-5474
Practice Address - Fax:901-881-5428
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN445922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry