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Individual

KEVIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19472 US ROUTE 11, WATERTOWN, NY 13601-5387
(315) 782-3941
(315) 782-8967
Mailing address
3061 STATE ROUTE 28, HERKIMER, NY 13350-1041
(315) 717-0020
(315) 717-0024

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
037040-1
NY

Other

Enumeration date
12/13/2013
Last updated
03/06/2019
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