Smith, Kenneth E

Smith, Kenneth E is an individual health care provider with primary practice located at 20126 Stanton Ave Suite 205, Castro Valley CA 94546-5271. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Smith, Kenneth E can be contacted via phone (510) 537-4211.

Contact Information

Primary practice address
20126 Stanton Ave Suite 205 Castro Valley CA 94546-5271
Phone: (510) 537-4211
Fax: (510) 537-3345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU2576 Kansas
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HTL8430 Kansas

Profile Details

NPI number 1467437541
LBN Legal business name Smith, Kenneth E
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Oct 31st, 2012 - about 12 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 1467437541 NPPES
Kansas Other 640002892 RAILROAD MEDICARE

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