Individual
KENNETH LEVIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1093 BEACON ST, BROOKLINE, MA 02446-5695
(617) 734-2601
Mailing address
1093 BEACON ST, BROOKLINE, MA 02446-5695
(617) 734-2601
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37143
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C26046
BCBS
MA
Enumeration date
06/09/2006
Last updated
07/08/2007
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