Smith, Kevin Deshaun

Smith, Kevin Deshaun is an sole proprietor health care provider with primary practice located at 3950 Austell Rd , Austell GA 30106. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Smith, Kevin Deshaun can be contacted via phone (770) 732-4022.

Contact Information

Primary practice address
3950 Austell Rd Austell GA 30106
Phone: (770) 732-4022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 83486 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 83486 Georgia

Profile Details

NPI number 1205222189
LBN Legal business name Smith, Kevin Deshaun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2015
Last updated Oct 15th, 2019 - about 5 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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