| Doctor Name: | DR. KEITH LEVITT |
| NPI Number: | 1922346428 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD2012-0646 |
| Business Practice Address: | 2701 Richmond Dr Ne Albuquerque, NM - 871071963 |
| Business Phone Number: | 4242374223 |
| Business Fax Number: | 8885038511 |
| Mailing Address: | Po Box 95590, ALBUQUERQUE |
| State: | NM |
| Postal Code: | 87199 |
| Phone Number: | 4242374223 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2013 |
| NPI Last Update Date: | 06/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD2012-0646 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |