MEDICARE: DR. LEVENT KENAR M.D.PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744R1102X	Research Study Specialist		MN
2	1744R1103X	Research Study Abstracter/Coder		MN

General Provider Information

NPI Number	:	1447559372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEVENT KENAR M.D.PH.D.

Provider Business Mailing Address
First Line	:	5610 LAUREL AVE APT 111
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55416-1060
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5610 LAUREL AVE APT 111
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55416-1060
Country	:	US
Telephone Number	:	612-801-3274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2011
Last Update Date	:	03/17/2011

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