Smith, Kenneth Gerald
Smith, Kenneth Gerald is an individual health care provider with primary practice located at 10012 Kennerly Rd Ste 406 , Saint Louis MO 63128-2197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Kenneth Gerald can be contacted via phone (314) 525-1224.Contact Information
Primary practice address
10012 Kennerly Rd Ste 406
Saint Louis MO 63128-2197
Phone: (314) 525-1224
Fax: (314) 525-4957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 116081 | Missouri |
Profile Details
| NPI number | 1154327534 |
|---|---|
| LBN Legal business name | Smith, Kenneth Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jan 6th, 2022 - about 3 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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