Individual provider · Type 1 NPI

Kenneth L. Smith, PA-C

Medical Physician Assistant · Augusta, GA

NPI number 1124226568 Active

Practice location

1120 15th St, Nephrology Division, Medical College Of Ga, BA-9413
Augusta, GA 30912-0004

Call (706) 721-2861 Map

Mailing address

4208 Fairfield Cir
Evans, GA 30809-3628

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X000725 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1124226568

Kenneth L. Smith, PA-C's National Provider Identifier is 1124226568, issued on Jul 6, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Augusta, GA. The record was last updated on Jul 8, 2007.