Smith, Kenneth D

Smith, Kenneth D is an individual health care provider with primary practice located at 1101 W Liberty Parkland Health Center Dept Of Radiology, Farmington MO 63640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smith, Kenneth D can be contacted via phone (573) 760-8075.

Contact Information

Primary practice address
1101 W Liberty Parkland Health Center Dept Of Radiology Farmington MO 63640
Phone: (573) 760-8075
Fax: (573) 760-8358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R8F26 Missouri

Profile Details

NPI number 1316958531
LBN Legal business name Smith, Kenneth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Nov 26th, 2007 - about 18 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 1316958531 NPPES
Other 235639 CMR
Other 945K1 CMR
Other 14989V14989 CMR
Other 235639 CMR
Other STL1600408 CMR
Other 235639 CMR
Other 8707 CMR
Other 945K1 CMR
Other 945K1 CMR

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