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Licensee Information

Kenneth Tyler Leaphart - PA-C
0010-07324
Active
No
06/20/2017
09/11/2026

Active Supervisor

NameTypeStatusApprovedInactive
Glenn, David Locke, III, MD MD Active 12/10/2024
Miller, Brian Douglas, MD MD Active 06/21/2017

North Carolina Hospital Admitting Privileges

Location
Davie County Hospital
Wake Forest Baptist Medical Center

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 11:40:43 AM
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