Smith, Kenneth L

Smith, Kenneth L is an individual health care provider with primary practice located at 1831 5Th Ave , Columbus GA 31904-8915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Kenneth L can be contacted via phone (706) 320-8660.

Contact Information

Primary practice address
1831 5Th Ave Columbus GA 31904-8915
Phone: (706) 320-8660
Fax: (706) 320-8664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 048722 Georgia

Profile Details

NPI number 1457323909
LBN Legal business name Smith, Kenneth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 20th, 2014 - about 10 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 1457323909 NPPES
Georgia Other 000879029B MEDICAID-OFFICE
Georgia Other 154859 MEDICAID-OFFICE
Georgia Other 20046782 MEDICAID-OFFICE
Georgia Other 000879029D MEDICAID-OFFICE
Georgia MEDICAID 009931860 MEDICAID-OFFICE
Georgia Other 52262489-003 MEDICAID-OFFICE
Georgia Other 52262489-005 MEDICAID-OFFICE
Georgia Other 600-11156 MEDICAID-OFFICE
Georgia Other 000879029C MEDICAID-OFFICE
Georgia MEDICAID 000879029A MEDICAID-OFFICE
Georgia Other 000879029E MEDICAID-OFFICE
Georgia Other 600-96706 MEDICAID-OFFICE

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