Individual
MR. KEN ISAIAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
3663 COLLEGE ST SE STE F, LACEY, WA 98503-2303
(360) 923-0826
Mailing address
3622 LANDAU AVE NE, OLYMPIA, WA 98506-5373
(360) 923-0826
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
428
WA
Other
Enumeration date
03/21/2007
Last updated
08/02/2022
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