Individual
DR. KEVIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 324-5461
Mailing address
2157 W CONCORD PL, APT 2, CHICAGO, IL 60647-5406
(919) 451-3208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71767
AZ
208000000X
Pediatrics Physician
71767
AZ
208M00000X
Hospitalist Physician
036.127672
IL
208M00000X
Hospitalist Physician
Primary
71767
AZ
Other
Enumeration date
06/27/2007
Last updated
04/02/2024
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