Organization · Type 2 NPI
Kenneth R Smith D. O. P.c.
Adult Medicine Physician · Glendale, AZ
NPI number
1407992381
Active
Practice location
6040 N 43rd Ave, Suite 1
Glendale, AZ 85301-5488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 1718 (AZ) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
4 other providers at this address
Other adult medicine physician providers in Glendale
About NPI 1407992381
Kenneth R Smith D. O. P.c.'s National Provider Identifier is 1407992381, issued on Jan 29, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Glendale, AZ. The record was last updated on Aug 22, 2020.