Smith, Kenneth B
Smith, Kenneth B is an individual health care provider with primary practice located at 901 Patients First Dr , Washington MO 63090-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Kenneth B can be contacted via phone (636) 239-7500.Contact Information
Primary practice address
901 Patients First Dr
Washington MO 63090-4700
Phone: (636) 239-7500
Fax: (636) 239-2836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R7025 | Missouri |
Profile Details
| NPI number | 1801822747 |
|---|---|
| LBN Legal business name | Smith, Kenneth B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Feb 9th, 2015 - about 9 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 | 1801822747 | NPPES |
| Missouri | MEDICAID | 202116802 | |
| Missouri | Other | 110166321 | |
| Missouri | Other | P01135273 |
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