Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leading Edge Healthcare, PLLC

Organization Internal Medicine Physician · NPI 1659017499

Leading Edge Healthcare, PLLC is an Internal Medicine Physician in Prescott, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

724 N Montezuma St Ste A
Prescott, AZ 86301-2066
Phone: (928) 925-2871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Internal Medicine Physician Taxonomy 207R00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1659017499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Kirkeeng — Owner Member · (928) 925-2871
NPI enumeratedMay 5, 2022
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023
Mailing address2182 Mark Ave, Prescott, AZ 86301-1029

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