Organization
KEVIN D SMITH D P M P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DENNIS SMITH DPM (PRESIDENT)
(309) 762-7919
Entity
Organization
Contact information
Practice address
505 VALLEY VIEW DR STE 1, MOLINE, IL 61265-6138
(309) 762-7919
(309) 517-6483
Mailing address
505 VALLEY VIEW DR STE 1, MOLINE, IL 61265-6138
(309) 762-7919
(309) 517-6483
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004863
IL
Other
Enumeration date
06/16/2006
Last updated
06/04/2015
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