Provider Demographics
NPI:1174004766
Name:COX, LEVI STEVEN (PA)
Entity Type:Individual
Prefix:
First Name:LEVI
Middle Name:STEVEN
Last Name:COX
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E EARL ST
Mailing Address - Street 2:
Mailing Address - City:LEOTI
Mailing Address - State:KS
Mailing Address - Zip Code:67861-9620
Mailing Address - Country:US
Mailing Address - Phone:620-375-2222
Mailing Address - Fax:
Practice Address - Street 1:211 E EARL ST
Practice Address - Street 2:
Practice Address - City:LEOTI
Practice Address - State:KS
Practice Address - Zip Code:67861-9620
Practice Address - Country:US
Practice Address - Phone:620-375-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant