Leavitt, Kenneth M

Leavitt, Kenneth M is an sole proprietor health care provider with primary practice located at 125 Parker Hill Ave Ste 390, Boston MA 02120-2847. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Leavitt, Kenneth M can be contacted via phone (617) 277-3800.

Contact Information

Primary practice address
125 Parker Hill Ave Ste 390 Boston MA 02120-2847
Phone: (617) 277-3800
Fax: (617) 277-3808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 1680 Massachusetts
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1680 Massachusetts

Profile Details

NPI number 1386672343
LBN Legal business name Leavitt, Kenneth M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Mar 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386672343 NPPES
Massachusetts MEDICAID 350273

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