Individual
KINDRA RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 WHITE HORSE RD STE 202, VOORHEES, NJ 08043-4408
(856) 644-6428
(856) 344-9096
Mailing address
210 YORKTOWN PLZ, ELKINS PARK, PA 19027-1424
(215) 600-4590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0061546
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132190100
—
MD
05
—
406123300
—
MD
Enumeration date
07/20/2006
Last updated
02/25/2020
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