Kevin Lee Smith in Plymouth - Family

Kevin Lee Smith - NPI 1679531024

Kevin Lee Smith is a Family in Plymouth, Minnesota. Kevin Lee Smith practices all healthcare services and medical treatments related to Family. The NPI Number for Kevin Lee Smith is 1679531024. The last update date is 2021-06-30.

Kevin Lee Smith's current location address is 18510 25th Ave N, Plymouth, Minnesota. You can contact this provider via phone number 7636395327. The mailing address for Kevin Lee Smith is 18510 25th Ave N, Plymouth, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Lee Smith
Address 18510 25th Ave N, Plymouth, Minnesota
Phone Number 7636395327
Fax Number
Sole Proprietor N
Credentials DNP

NPI Number Detail

NPI Number 1679531024
Provider Enumeration Date 2006-05-03
Last Updated Date 2021-06-30

Provider Mailing Address Detail

Address 18510 25th Ave N
City Plymouth
State Minnesota (MN)
Post Code 554472016
Phone Number 7636395327
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R096446-3
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Kevin Lee Smith

What is the Kevin Lee Smith's unique identification number?

The Kevin Lee Smith has been assigned the NPI (National Provider Identifier) Number 1679531024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

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

The Kevin Lee Smith is situated at the following address: 18510 25Th Ave N, Plymouth, MN 554472016.

What is Kevin Lee Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kevin Lee Smith is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Kevin Lee Smith receive the assignment of its 1679531024 from the Centers for Medicare & Medicaid Services?

The Kevin Lee Smith was issued its 1679531024 by the Centers for Medicare & Medicaid Services on 2006-05-03.

When was the information regarding Kevin Lee Smith, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kevin Lee Smith, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-30.

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