Smith, Kevin Scott

Smith, Kevin Scott is an individual health care provider with primary practice located at 10628 Park Rd , Charlotte NC 28210-8407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Smith, Kevin Scott can be contacted via phone (704) 973-5500.

Contact Information

Primary practice address
10628 Park Rd Charlotte NC 28210-8407
Phone: (704) 973-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 9800702 North Carolina

Profile Details

NPI number 1114929924
LBN Legal business name Smith, Kevin Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Apr 17th, 2018 - 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 1114929924 NPPES
North Carolina MEDICAID 8912229
North Carolina Other 9800702
North Carolina Other 21561

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