Individual
KEVIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
281 N LYERLY ST STE 200, CHATTANOOGA, TN 37404-2728
(423) 688-0850
(423) 698-0511
Mailing address
281 N LYERLY ST STE 200, CHATTANOOGA, TN 37404-2728
(423) 688-0850
(423) 698-0511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
37926
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
61375
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99578531
—
CO
05
—
Q06091
—
TN
Enumeration date
04/05/2006
Last updated
11/11/2024
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