Individual
KEVIN G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 S MAIN ST, GREENVILLE, PA 16125-1773
(724) 588-6500
(724) 588-2257
Mailing address
408 S MAIN ST, GREENVILLE, PA 16125-1773
(724) 588-6500
(724) 588-2257
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD040603E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012122300001
—
PA
Enumeration date
01/10/2006
Last updated
03/02/2016
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