Kenneth R Smith D. O. P.C. in Glendale - Adult Medicine

Kenneth R Smith D. O. P.C. - NPI 1407992381

Kenneth R Smith D. O. P.C. is a Adult Medicine in Glendale, Arizona. Kenneth R Smith D. O. P.C. practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Kenneth R Smith D. O. P.C. is 1407992381. The last update date is 2020-08-22.

Kenneth R Smith D. O. P.C.'s current location address is 6040 N 43rd Ave, Glendale, Arizona. You can contact this provider via phone number 6239312221. The mailing address for Kenneth R Smith D. O. P.C. is 6040 N 43rd Ave, Glendale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kenneth R Smith D. O. P.C.
Address 6040 N 43rd Ave, Glendale, Arizona
Phone Number 6239312221
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Smith R Kenneth
Credentials D.O.
Telephone Number 6239312221

NPI Number Detail

NPI Number 1407992381
Provider Enumeration Date 2007-01-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6040 N 43rd Ave
City Glendale
State Arizona (AZ)
Post Code 853015488
Phone Number 6239312221
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No 1718
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

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FAQs about Kenneth R Smith D. O. P.C.

What is the unique 10-digit identification code issued to Kenneth R Smith D. O. P.C. by the Centers for Medicare & Medicaid Services?

The Kenneth R Smith D. O. P.C. has been assigned the NPI (National Provider Identifier) 1407992381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Kenneth R Smith D. O. P.C. located?

The Kenneth R Smith D. O. P.C. is located at 6040 N 43Rd Ave, Glendale, AZ 853015488.

What is Kenneth R Smith D. O. P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth R Smith D. O. P.C. is Adult Medicine, and the taxonomy code that classifies this field of practice is 207Qa0505X.

On what date did the Centers for Medicare & Medicaid Services issue the 1407992381 to Kenneth R Smith D. O. P.C.?

The Kenneth R Smith D. O. P.C. received its 1407992381 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.

When was the Kenneth R Smith D. O. P.C.'s information last updated?

The Kenneth R Smith D. O. P.C.'s information was last updated on 2020-08-22.

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