Individual
KEVIN PATRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6565 FANNIN ST STE B452, HOUSTON, TX 77030
(713) 441-3620
Mailing address
6565 FANNIN ST STE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
830503
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392339301
—
TX
Enumeration date
10/09/2018
Last updated
03/04/2019
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