Kevin L Smith in Saint Cloud - Diagnostic Radiology

Kevin L Smith - NPI 1194725424

Kevin L Smith is a Diagnostic Radiology in Saint Cloud, Minnesota. Kevin L Smith practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kevin L Smith is 1194725424. The last update date is 2011-08-11.

Kevin L Smith's current location address is Po Box 7366, Saint Cloud, Minnesota. You can contact this provider via phone number 3202575595 and fax number 3202575596. The mailing address for Kevin L Smith is Po Box 7366, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin L Smith
Address Po Box 7366, Saint Cloud, Minnesota
Phone Number 3202575595
Fax Number 3202575596
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1194725424
Provider Enumeration Date 2005-07-28
Last Updated Date 2011-08-11

Provider Mailing Address Detail

Address Po Box 7366
City Saint Cloud
State Minnesota (MN)
Post Code 563027366
Phone Number 3202575595
Fax Number 3202575596

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 42088
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16-02418 MN MEDICA
HP38324 MN HEALTH PARTNERS
128440C561 MN UCARE OF MINNESOTA
300138882 MN RAILROAD MEDICARE
883131 MN ARAZ/ AMERICA'S PPO
411772562 MN TRICARE
411772562 MN GREATWEST HEALTHCARE
67G97SM MN BLUE CROSS BLUE SHIELD
627622900 MN --
965251022160 MN PREFERRED ONE

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FAQs about Kevin L Smith

What is the unique 10-digit identification code assigned to Kevin L Smith by the Centers for Medicare & Medicaid Services?

The Kevin L Smith has been issued the NPI (National Provider Identifier) 1194725424, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kevin L Smith is physically located?

The Kevin L Smith is situated at the following address: Po Box 7366, Saint Cloud, MN 563027366.

What is Kevin L Smith's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kevin L Smith's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

On what date did the Kevin L Smith receive the assignment of its 1194725424 from the Centers for Medicare & Medicaid Services?

The Kevin L Smith was issued its 1194725424 by the Centers for Medicare & Medicaid Services on 2005-07-28.

As of what date were the Kevin L Smith's details last updated?

The information pertaining to the Kevin L Smith, including its address, specialty, and other details, was most recently updated on 2011-08-11.

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