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
Phone: (504) 503-5205
Fax: (504) 503-6019
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356310650 | NPPES |
Louisiana | MEDICAID | 1192554 |
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