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
Phone: (225) 767-4893
Fax: (225) 767-5494
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700098324 | NPPES |
| Louisiana | MEDICAID | 1049549 |
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