Individual
KENNETH E LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32209-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2486
DEAN HEALTH INSURANCE
WI
05
—
31710000
—
WI
Enumeration date
06/14/2006
Last updated
09/22/2015
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