Smith, Kenneth G

Smith, Kenneth G is an individual health care provider with primary practice located at 5131 Odonovan Dr Ste 100 , Baton Rouge LA 70808-4791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Smith, Kenneth G can be contacted via phone (225) 767-4893.

Contact Information

Primary practice address
5131 Odonovan Dr Ste 100 Baton Rouge LA 70808-4791
Fax: (225) 767-5494
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 025974 Louisiana

Profile Details

NPI number 1700098324
LBN Legal business name Smith, Kenneth G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 7th, 2022 - about 2 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 1700098324 NPPES
Louisiana MEDICAID 1049549

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