Individual
KEVIN T LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MOUNT SINAI ELMHURST HOSPITAL DEPT OF RADIOLOGY, 79-01 BROADWAY ROOM, A1-19, ELMHURST, NY 11373
(718) 334-2663
Mailing address
1854 SAWNEE BEAN RD, THETFORD CENTER, VT 05075-8868
(336) 462-9317
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R-7637
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913923
—
NC
Enumeration date
05/22/2007
Last updated
01/08/2024
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