Individual
KEVIN S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2041 GEORGIA NWAVE 1700, WASHINGTON, DC 20060-0001
(202) 865-4164
(202) 865-7407
Mailing address
2024 GEORGIA NWAVE 2ND, WASHINGTON, DC 20001-3027
(202) 865-6679
(202) 865-1617
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A60034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A600340
—
CA
Enumeration date
08/25/2006
Last updated
10/14/2015
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