Individual
DR. KENNETH LEE SMYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8711 NW 40TH CIR, GAINESVILLE, FL 32653-0078
(352) 215-8844
Mailing address
8711 NW 40TH CIR, GAINESVILLE, FL 32653-0078
(352) 215-8844
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
MT1828
FL
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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