Smith, Kenneth L.

Smith, Kenneth L. is an individual health care provider with primary practice located at 1120 15Th St Nephrology Division, Medical College Of Ga, Ba-9413, Augusta GA 30912-0004. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Smith, Kenneth L. can be contacted via phone (706) 721-2861.

Contact Information

Primary practice address
1120 15Th St Nephrology Division, Medical College Of Ga, Ba-9413 Augusta GA 30912-0004
Phone: (706) 721-2861
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000725 Georgia

Profile Details

NPI number 1124226568
LBN Legal business name Smith, Kenneth L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated Jul 8th, 2007 - about 17 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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