Smith, Kenneth B

Smith, Kenneth B is an individual health care provider with primary practice located at 4200 Houma Blvd Fl 3 , Metairie LA 70006-2970. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Smith, Kenneth B can be contacted via phone (504) 503-5205.

Contact Information

Primary practice address
4200 Houma Blvd Fl 3 Metairie LA 70006-2970
Fax: (504) 503-6019
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 12364 Louisiana
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD.012364 Louisiana

Profile Details

NPI number 1356310650
LBN Legal business name Smith, Kenneth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 19th, 2018 - about 6 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 1356310650 NPPES
Louisiana MEDICAID 1192554

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