Kenneth M Leavitt
Podiatrist Foot and Ankle Orthopaedic Surgeon
125 Parker Hill Ave Ste 390
Boston
, Massachusetts 02120-2847
Kenneth M Leavitt
Podiatrist Foot and Ankle Orthopaedic Surgeon
125 Parker Hill Ave Ste 390
Boston
, Massachusetts 02120-2847
(508) 795-0393
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
- Podiatrist
Languages spoken
- English
Location
First Address
- Kenneth M Leavitt
- 67 Millbrook St. C/o Chm
- Worcester, MA
- Zip : 01606-2835
- Fax : (508) 795-0393
- Phone : (508) 795-0009
Second Address
- Kenneth M Leavitt
- 125 Parker Hill Ave Ste 390
- Boston, MA
- Zip : 02120-2847
- Fax : (617) 277-3808
- Phone : (617) 277-3800
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FAQs
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Is Kenneth M Leavitt a sole practitioner?
Is Kenneth M Leavitt accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 1680 | MA |
| Y | 213E00000X | Podiatrist | 1680 | MA |
| Y | 222Z00000X | Podiatrist | 1680 | MA |
National Provider Identifier
| NPI | 1386672343 |
|---|---|
| Provider Name | Kenneth M Leavitt |
| First Address | Worcester, MA 01606-2835 |
| Second Address | Boston, MA 02120-2847 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 02/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 350273 | (05) | MA |
| T58743 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.