Individual
KWENDE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10 RESEARCH PL, SUITE 206, NORTH CHELMSFORD, MA 01863-2439
(978) 275-1390
(978) 275-1394
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(603) 673-9411
(603) 673-9899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0312
NH
213E00000X
Podiatrist
Primary
2302
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708437
—
MA
01
—
27-01376
EVERCARE
MA
01
—
94141
FALLON COMMUNITY HEALTH
MA
01
—
Y71125
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/05/2006
Last updated
07/08/2007
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