Individual
DR. KENNETH CHARLES LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
226 S WOODS MILL RD, STE 36W, CHESTERFIELD, MO 63017-3662
(314) 453-9666
(314) 453-9895
Mailing address
PO BOX 7412041, CHICAGO, IL 60674-2041
(314) 453-9666
(314) 453-9895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R1P16
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209867902
—
MO
Enumeration date
08/14/2006
Last updated
04/18/2025
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