Individual
MR. KELVIN SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LO, CO
Contact information
Practice address
4915 SAINT ELMO AVE STE 300, BETHESDA, MD 20814-6077
(240) 970-1780
(240) 970-1781
Mailing address
4915 SAINT ELMO AVE STE 300, BETHESDA, MD 20814-6077
(240) 970-1780
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO006148
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, & PEDORTHICS
—
Enumeration date
01/17/2020
Last updated
08/15/2025
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