Smith, Kevin Jon

Smith, Kevin Jon is an individual health care provider with primary practice located at 428 S Gilbert Rd Ste 115 , Gilbert AZ 85296-2262. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Smith, Kevin Jon can be contacted via phone (480) 507-2961.

Contact Information

Primary practice address
428 S Gilbert Rd Ste 115 Gilbert AZ 85296-2262
Phone: (480) 507-2961
Fax: (480) 507-2971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 48963 Arizona

Profile Details

NPI number 1992010896
LBN Legal business name Smith, Kevin Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2010
Last updated Jun 30th, 2015 - 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 1992010896 NPPES
Arizona MEDICAID 906314

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