Provider Demographics
NPI:1780054569
Name:LEVIN, JAIMIE MARIE (DVM)
Entity type:Individual
Prefix:
First Name:JAIMIE
Middle Name:MARIE
Last Name:LEVIN
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:JAIMIE
Other - Middle Name:MARIE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DVM
Mailing Address - Street 1:9420 MISSION RD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66206-2042
Mailing Address - Country:US
Mailing Address - Phone:913-649-0552
Mailing Address - Fax:
Practice Address - Street 1:9420 MISSION RD
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66206-2042
Practice Address - Country:US
Practice Address - Phone:913-649-0552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8098174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian