Smitherman, Kenton Osborne

Smitherman, Kenton Osborne is an individual health care provider with primary practice located at 200 W Arbor Dr Mail Code 8201, San Diego CA 92103-9000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Smitherman, Kenton Osborne can be contacted via phone (888) 309-8273.

Contact Information

Primary practice address
200 W Arbor Dr Mail Code 8201 San Diego CA 92103-9000
Phone: (888) 309-8273
Fax: (619) 543-3183
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G84563 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X G84563 California

Profile Details

NPI number 1205888724
LBN Legal business name Smitherman, Kenton Osborne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 25th, 2017 - about 7 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 1205888724 NPPES
California MEDICAID 00G845630

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