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NPI Code Detail

MEDICARE: DR. KATELYN RENEE BENNETT LEVI DO

MEDICARE:  DR. KATELYN RENEE BENNETT LEVI  DO
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
1207R00000XInternal Medicine Physician34.017045OH
2208M00000XHospitalist Physician34.017045OH

General Provider Information

NPI Number : 1619553534
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATELYN RENEE BENNETT LEVI DO
Provider Business Mailing Address
First Line : PO BOX 7527
Second Line :
City : DUBLIN
State : OH
Zip : 43017-0727
Country : US
Telephone Number : 614-544-1994
Fax Number : 614-544-0052
Provider Business Practice Location Address
First Line : 5109 W BROAD ST LOWR LEVEL
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1648
Country : US
Telephone Number : 614-544-1976
Fax Number : 614-544-1981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 04/17/2026

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Directions to “ DR. KATELYN RENEE BENNETT LEVI DO” Practice Location

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