Individual provider · Type 1 NPI

Keith Dorman Smith

Private Vehicle · Colorado Springs, CO

NPI number 1760838726 Active

Practice location

2910 N Powers Blvd, Suite 139
Colorado Springs, CO 80922-2801

Call (719) 232-5240 Map

Mailing address

6716 Snowy Range Dr
Colorado Springs, CO 80923-5192

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XLL-03194 (CO)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1760838726

Keith Dorman Smith's National Provider Identifier is 1760838726, issued on May 9, 2016. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Colorado Springs, CO. The record was last updated on May 9, 2016.