Smith, Kenneth J

Smith, Kenneth J is an sole proprietor health care provider with primary practice located at 709 W Main St , Morehead KY 40351-1443. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Smith, Kenneth J can be contacted via phone (606) 784-8983.

Contact Information

Primary practice address
709 W Main St Morehead KY 40351-1443
Phone: (606) 784-8983
Fax: (606) 784-4408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4300 Kentucky
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 4300 Kentucky

Profile Details

NPI number 1487611406
LBN Legal business name Smith, Kenneth J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Jul 9th, 2007 - about 18 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 1487611406 NPPES
Kentucky MEDICAID 60043007
Kentucky MEDICAID 64043003

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