Individual
KEN B SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
140 CHURCH STREET, SNEEDVILLE, TN 37869
(423) 733-2322
(423) 733-2140
Mailing address
4635 BARTON SPRINGS DR, MORRISTOWN, TN 37813-7710
(423) 581-0654
(423) 733-2140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
705
TN
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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