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

Leslie Fannin

Individual provider Family Nurse Practitioner · NPI 1356215396

Leslie Fannin is a Nurse Practitioner in Ashland, Kentucky. Qualified in 2025, 1 year ago. Practices with Kings Daughters Medical Specialties Inc, a 387-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
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Practice location Address checks out

613 23rd St Ste 340
Ashland, KY 41101-2879
Phone: (606) 329-2888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4047191 (KY)

Record details

NPI number1356215396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Kings Daughters Medical Specialties Inc — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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