Smith, Kenneth Ashley

Smith, Kenneth Ashley is an individual health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901-2612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Smith, Kenneth Ashley can be contacted via phone (706) 737-9250.

Contact Information

Primary practice address
1350 Walton Way Augusta GA 30901-2612
Phone: (706) 737-9250
Fax: (706) 733-0697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 037693 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 037693 Georgia

Profile Details

NPI number 1063447951
LBN Legal business name Smith, Kenneth Ashley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063447951 NPPES
Georgia MEDICAID 000655498C
Georgia MEDICAID G37693
Georgia Other P00108141

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