National Provider Identifier Database

KENNETH M LEAVITT, DPM – NPI #1386672343
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

KENNETH M LEAVITT, DPM
125 PARKER HILL AVE
STE 390
BOSTON, MA02120-2847
Phone: 617-277-3800
Fax: 617-277-3808
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Foot and Ankle Surgery 207XX0004X

* Indicates primary specialty

NPI Profile & details for KENNETH M LEAVITT

NPI Number 1386672343
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/29/2006
Last updated 03/02/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • MA License #: 1680
  • MA Medicaid: 350273
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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