IndividualActive
Kenneth Levy, DO
NPI 1457319550 · Geriatric Psychiatry Physician · Philadelphia, PA
Provider details
- NPI number
- 1457319550
- Entity type
- Individual
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0S007464L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8400 Roosevelt Blvd
Ste 206
Philadelphia, PA 19152-2081
Phone: (215) 333-7560
Fax: (215) 333-7563
Approximate (ZIP-level) locationGet directions
Mailing address
8400 Roosevelt Blvd
Philadelphia, PA 19152-2081
Registry dates
- Enumerated
- 2006-05-01
- Last updated
- 2013-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.