Kevin Smith is a Physician Assistant in Detroit, Michigan. Kevin Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin Smith is 1396716460. The last update date is 2021-03-22.
Kevin Smith's current location address is Po Box 781076, Detroit, Michigan. You can contact this provider via phone number 3175284800 and fax number 3178651479. The mailing address for Kevin Smith is Po Box 781076, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Smith |
|---|---|
| Address | Po Box 781076, Detroit, Michigan |
| Phone Number | 3175284800 |
| Fax Number | 3178651479 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1396716460 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2021-03-22 |
Provider Mailing Address Detail
| Address | Po Box 781076 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482781076 |
| Phone Number | 3175284800 |
| Fax Number | 3178651479 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000208A |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 369959 | IN | ANTHEM |
Post Comment/ Review Below
What is the Kevin Smith's unique identification number?
The Kevin Smith has been assigned the NPI (National Provider Identifier) Number 1396716460 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kevin Smith's physical address?
The Kevin Smith is physically located at Po Box 781076, in the city of Detroit, MI, with the postal code 482781076.
What is Kevin Smith's area of expertise and its corresponding taxonomy classification?
The Kevin Smith's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did the Kevin Smith receive its 1396716460?
The Kevin Smith was issued its 1396716460 on 2006-01-27, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kevin Smith most recently updated or revised?
The details related to Kevin Smith, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-22.