KENNETH M LEVINE D.O. LTD NPI 1245468271

NPI Information

  • NPI: 1245468271
  • Provider Name: KENNETH M LEVINE, D.O. LTD
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 2121 S MILL AVE
    114
    TEMPE, AZ
    ZIP 85282
  • Phone: (480) 838-9388

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NPI Details

KENNETH M LEVINE, D.O. LTD is an addiction medicine family medicine in Tempe, AZ. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. KENNETH M LEVINE, D.O. LTD NPI is 1245468271. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2121 S MILL AVE
114
TEMPE, AZ
ZIP 85282-138
Phone: (480) 838-9388
Fax: (480) 840-1393

The provider's authorized official is Katie Gayne .
The authorized official title is Manager and has the following contact phone number (480) 838-9388.

The enumeration date for this NPI number is 6/29/2009 and was last updated on 6/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction Medicine1696ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E39804MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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