Smith, Kenneth J

Smith, Kenneth J is an individual health care provider with primary practice located at 8300 Constitution Ave. Ne Presbyterian Oncology Kaseman Hospital, Albuquerque NM 87110-7613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Smith, Kenneth J can be contacted via phone (505) 559-6199.

Contact Information

Primary practice address
8300 Constitution Ave. Ne Presbyterian Oncology Kaseman Hospital Albuquerque NM 87110-7613
Fax: (505) 559-6101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 041965 Connecticut

Profile Details

NPI number 1073506531
LBN Legal business name Smith, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Aug 12th, 2011 - about 14 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 1073506531 NPPES
Other 2V5874 HEALTHNET
Other 010041965CT03 HEALTHNET
MEDICAID 001419656 HEALTHNET
Other 041965 HEALTHNET
Other P3157657 HEALTHNET

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