Kenneth Lavin

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1805 E Western Reserve Rd Unit 25
Poland, OH 44514-5264

Phone

(614) 735-0797

NPI assigned

Feb 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1316579394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E WESTERN RESERVE RD UNIT 25",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145264",
            "telephone_number": "614-735-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E WESTERN RESERVE RD UNIT 25",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145264",
            "telephone_number": "614-735-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Anne Kurz, LPCC (OH), LPC (TX)
• Laboratory Corporation of America Holdings
• Julianne Renee Laird, COTA/L
• Deena Lambert, PT
• Donna Lambert, OTR/L
• Madison Paige Leonard
• Ronald James Lewellyn, PH.D.
• Lincare Inc
• Gina Lipari
• Kimberly Lisko, LSW

• Peer Specialist in Poland, OH
• Providers in Poland, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.