Provider Demographics
NPI:1871738146
Name:CLOUD, LEAH K (MD)
Entity type:Individual
Prefix:DR
First Name:LEAH
Middle Name:K
Last Name:CLOUD
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:LEAH
Other - Middle Name:M
Other - Last Name:KINLAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5250 FAR HILLS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45429-2382
Mailing Address - Country:US
Mailing Address - Phone:937-433-2300
Mailing Address - Fax:937-795-3107
Practice Address - Street 1:5250 FAR HILLS AVE STE 200
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-2382
Practice Address - Country:US
Practice Address - Phone:937-433-2300
Practice Address - Fax:937-795-3107
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35120013207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0075749Medicaid
OH0075749Medicaid