Organization
KENNETH M LEVINE, D.O. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE GAYNE (MANAGER)
(480) 838-9388
Entity
Organization
Contact information
Practice address
2121 S MILL AVE, 114, TEMPE, AZ 85282-2138
(480) 838-9388
(480) 840-1393
Mailing address
2121 S MILL AVE, 114, TEMPE, AZ 85282-2138
(480) 838-9388
(480) 840-1393
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
1696
AZ
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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