Individual
MR. KEVIN DOUGLAS SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN, MN, NP-C
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7941
(509) 434-7115
Mailing address
606 E CAMPBELL ST, MEDICAL LAKE, WA 99022-8909
(509) 299-4854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006383
WA
Other
Enumeration date
01/17/2006
Last updated
03/07/2023
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