Individual
KENNETH D. LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1641 TAMIAMI TRL, STE 1, PORT CHARLOTTE, FL 33948-1042
(941) 629-6262
(941) 629-1782
Mailing address
1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1042
(941) 629-6262
(941) 629-1782
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0034403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038493300
—
FL
01
—
50913
BCBS
FL
Enumeration date
07/08/2005
Last updated
01/08/2010
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