Individual
DR. KENTON OSBORNE SMITHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, MAIL CODE 8201, SAN DIEGO, CA 92103-9000
(888) 309-8273
(619) 543-3183
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G84563
CA
208M00000X
Hospitalist Physician
Primary
G84563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G845630
—
CA
Enumeration date
05/16/2006
Last updated
09/25/2017
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