Smith, Kenneth Randall

Smith, Kenneth Randall is an sole proprietor health care provider with primary practice located at 833 Saint Vincents Dr Ste 207 , Birmingham AL 35205-1609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Kenneth Randall can be contacted via phone (205) 591-2311.

Contact Information

Primary practice address
833 Saint Vincents Dr Ste 207 Birmingham AL 35205-1609
Phone: (205) 591-2311
Fax: (205) 930-9222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M2116 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME100306 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD.29630 Alabama

Profile Details

NPI number 1225152192
LBN Legal business name Smith, Kenneth Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2007
Last updated May 7th, 2019 - about 6 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 1225152192 NPPES
Alabama Other 6360390001 MEDICARE NSC

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