Individual provider · Type 1 NPI
Kevin Smith
Driver · Calumet City, IL
NPI number
1124565759
Active
Practice location
530 Yates Ave
Calumet City, IL 60409-3119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Calumet City
About NPI 1124565759
Kevin Smith's National Provider Identifier is 1124565759, issued on Jan 20, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Calumet City, IL. The record was last updated on Jan 20, 2017.