Individual
DR. KENDRA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1171 W TARGET RANGE RD, NOGALES, AZ 85621-2415
(520) 285-8020
Mailing address
202 E 13TH ST, 5G, NEW YORK, NY 10003-5686
(315) 382-4257
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
257645
NY
207P00000X
Emergency Medicine Physician
Primary
53699
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03256695
—
NY
Enumeration date
11/13/2008
Last updated
12/03/2024
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