Individual
MR. KEVIN SMITTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
277 NORTH ST, ALLEGAN, MI 49010-1138
(269) 673-5092
Mailing address
3285 122ND AVE, ALLEGAN, MI 49010-9511
(269) 673-5092
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528570322
—
MI
Enumeration date
11/13/2017
Last updated
11/13/2017
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