Individual
KONNOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 BERNARD ST, BAKERSFIELD, CA 93305-3020
(661) 325-1817
Mailing address
600 BERNARD ST, BAKERSFIELD, CA 93305-3020
(661) 325-1817
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-ADYMGC
CA
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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