Smith, Kenneth Wayne

Smith, Kenneth Wayne is an individual health care provider with primary practice located at 12046 W Spring River Ct , Boise ID 83709-5160. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Smith, Kenneth Wayne can be contacted via phone (208) 968-4302.

Contact Information

Primary practice address
12046 W Spring River Ct Boise ID 83709-5160
Phone: (208) 968-4302
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA-1091 Idaho

Profile Details

NPI number 1740563634
LBN Legal business name Smith, Kenneth Wayne
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2011
Last updated Sep 27th, 2011 - about 13 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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