Individual
MR. KENNETH RONALD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8991 REDDEN RD, BRIDGEVILLE, DE 19933-4746
(302) 337-3300
(302) 337-8072
Mailing address
8991 REDDEN RD, BRIDGEVILLE, DE 19933-4746
(302) 337-3300
(302) 337-8072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10003941
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000456901
—
DE
Enumeration date
10/20/2006
Last updated
05/03/2011
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