Individual provider · Type 1 NPI

Kenneth Andrew Smith, DO

Military Health Care Provider · Portsmouth, VA

NPI number 1780143784 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Call (757) 953-2339 Map

Mailing address

1550 Tomcat Blvd
Virginia Beach, VA 23460-2218

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X0102206341 (VA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1780143784

Kenneth Andrew Smith, DO's National Provider Identifier is 1780143784, issued on Mar 19, 2019. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Portsmouth, VA. The record was last updated on Jun 8, 2023.