Individual
KENNETH J. LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6777 W MAPLE RD, DEPT OF RADIATION ONCOLOGY HENRY FORD HOSPITAL, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6487
(248) 661-7164
Mailing address
6777 W MAPLE RD, DEPT OF RADIATION ONCOLOGY HENRY FORD HOSPITAL, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6487
(248) 661-7164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301058146
MI
2085R0001X
Radiation Oncology Physician
Primary
4301058146
MI
2085R0203X
Therapeutic Radiology Physician
4301058146
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488605210
—
MI
01
—
700H262300
BLUE CROSS-BLUE CROSS
—
01
—
KL058146
CHAMPUS-CHAMPUS
—
Enumeration date
08/24/2006
Last updated
02/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us