Kenneth M Leavitt in Boston - Foot And Ankle Surgery

Kenneth M Leavitt - NPI 1386672343

Kenneth M Leavitt is a Foot And Ankle Surgery in Boston, Massachusetts. Kenneth M Leavitt practices all healthcare services and medical treatments related to Foot And Ankle Surgery. The NPI Number for Kenneth M Leavitt is 1386672343. The last update date is 2015-03-02.

Kenneth M Leavitt's current location address is 125 Parker Hill Ave, Boston, Massachusetts. You can contact this provider via phone number 6172773800 and fax number 6172773808. The mailing address for Kenneth M Leavitt is 125 Parker Hill Ave, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth M Leavitt
Address 125 Parker Hill Ave, Boston, Massachusetts
Phone Number 6172773800
Fax Number 6172773808
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1386672343
Provider Enumeration Date 2006-06-29
Last Updated Date 2015-03-02

Provider Mailing Address Detail

Address 125 Parker Hill Ave
City Boston
State Massachusetts (MA)
Post Code 212028470
Phone Number 6172773800
Fax Number 6172773808

Provider's Primary Taxonomy Detail

Speciality Foot And Ankle Surgery
Taxonomy 207Xx0004X
Licence No 1680
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and ch

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
350273 MA --

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FAQs about Kenneth M Leavitt

What is the Kenneth M Leavitt's 1386672343?

The Kenneth M Leavitt's NPI (National Provider Identifier) Number is 1386672343. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kenneth M Leavitt's facilities are geographically located?

The facilities of Kenneth M Leavitt are physically situated at the following location: 125 Parker Hill Ave, Boston, MA, 212028470.

What is the Kenneth M Leavitt's area of specialization and corresponding taxonomy classification?

The Kenneth M Leavitt's specialty field is Foot And Ankle Surgery, and it falls under the taxonomy code 207Xx0004X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1386672343 to Kenneth M Leavitt?

The Centers for Medicare & Medicaid Services originally issued the 1386672343 to Kenneth M Leavitt on 2006-06-29.

When was the information related to Kenneth M Leavitt most recently updated or refreshed?

The details pertaining to the Kenneth M Leavitt, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-02.

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