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Individual
KWENDE SMITH
Active
Individual
KWENDE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0312
NH
213E00000X
Podiatrist
Primary
2302
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708437
—
MA
01
—
27-01376
EVERCARE
MA
01
—
94141
FALLON COMMUNITY HEALTH
MA
01
—
Y71125
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/05/2006
Last updated
07/08/2007
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