Kenneth M Levine, D.O. LTD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

1696 Issued in AZ

Legal business name

KENNETH M LEVINE, D.O. LTD

Practice address

2121 S Mill Ave
114
Tempe, AZ 85282-2138

Phone

(480) 838-9388

Fax

(480) 840-1393

NPI assigned

Jun 29, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katie Gayne

Title

Manager

Phone

(480) 838-9388

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1245468271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S MILL AVE",
            "address_2": "114",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822138",
            "telephone_number": "480-838-9388",
            "fax_number": "480-840-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S MILL AVE",
            "address_2": "114",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822138",
            "telephone_number": "480-838-9388",
            "fax_number": "480-840-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M LEVINE, D.O. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "GAYNE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-838-9388"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "1696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Kennedy, MA, LAMFT
• Jeremy Kennedy, BS, RBT
• Joshua Steven Kennedy, PT, DPT
• Sally Jean Kennedy, NP
• Shaun Patrick Kennedy, N.D.
• Kenneth O Anaeme LLC
• Jessica Kenny
• Catherine Kent-Murtaugh, NP
• Kara Nicole Kent, RN
• Shaylyn Sheaffer Kerbey, MS, CCC-SLP

• Addiction Medicine (Family Medicine) Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Addiction Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.