Individual
KENNETH LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 SCRANTON CARBONDALE HWY, SCRANTON, PA 18508-1115
(570) 343-4334
(570) 207-4287
Mailing address
435 SCRANTON CARBONDALE HWY, SCRANTON, PA 18508-1115
(570) 343-4334
(570) 207-4287
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD020994E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001223833
—
PA
Enumeration date
01/18/2007
Last updated
06/26/2012
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