Smith, Kevin Etwood

Smith, Kevin Etwood is an sole proprietor health care provider with primary practice located at 1390 E Jasper Dr , Gilbert AZ 85296-4347. He recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Developmental Disabilities, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is his primary health care specialty. Smith, Kevin Etwood can be contacted via phone (480) 862-3648.

Contact Information

Primary practice address
1390 E Jasper Dr Gilbert AZ 85296-4347
Phone: (480) 862-3648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Arizona
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X Arizona
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Arizona
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X Arizona

Profile Details

NPI number 1790529923
LBN Legal business name Smith, Kevin Etwood
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2024
Last updated Jun 21st, 2024 - about 3 months 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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