Active NPIIndividual providerSole proprietor

Kenneth M Leavitt, DPM

Podiatrist in Boston, Massachusetts

NPI Number1386672343
Practice location
125 Parker Hill Ave, Ste 390, Boston, MA 02120-2847
Fax
617-277-3808
Last updated
March 2, 2015

Kenneth M Leavitt is a Podiatrist based in Boston, MA. Kenneth M Leavitt practices in Boston, MA and has the professional credentials of DPM. The NPI Number for Kenneth M Leavitt is 1386672343 and holds a License No. 1680 (MA). The current practice location address for Kenneth M Leavitt is 125 Parker Hill Ave, Ste 390, Boston, MA 02120-2847 and can be reached out via phone at 617-277-3800 and via fax at 617-277-3808.

Provider Profile Details

NPI Number
1386672343
Provider Name
Kenneth M Leavitt
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
125 Parker Hill Ave, Ste 390, Boston, MA 02120-2847
Phone Number
617-277-3800
Fax Number
617-277-3808
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 29, 2006
Last Update Date
March 2, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Parker Hill Ave
Ste 390
Boston, MA 02120-2847
City
Boston
Zip
02120-2847
Phone Number
617-277-3800
Fax Number
617-277-3808
Boston, MA 02120Get directions →

Provider Business Mailing Address Details

Address
67 Millbrook St.
C/O Chm
Worcester, MA 01606-2835
City
Worcester
State
MA
Zip
01606-2835
Phone Number
508-795-0009
Fax Number
508-795-0393

License Information

License Number (1)
1680
License State (1)
MA
License Number (2)
1680
License State (2)
MA
Taxonomy (2)
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth M Leavitt, DPM?

The NPI number of Kenneth M Leavitt, DPM is 1386672343. It was assigned on June 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Kenneth M Leavitt, DPM?

Kenneth M Leavitt, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in MA under license number 1680.

Where does Kenneth M Leavitt, DPM practice?

The practice location is 125 Parker Hill Ave, Ste 390, Boston, MA 02120-2847. The office can be reached at 617-277-3800 (phone) or 617-277-3808 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386672343 directly on the NPPES registry website.

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