Individual
KENNETH WILSON SMEAD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 SHAWS CV STE 101, JOHN J. MCGUIRK VA OUTPATIENT CLINIC, NEW LONDON, CT 06320-4956
(860) 437-3611
Mailing address
4 SHAWS CV STE 101, JOHN J. MCGUIRK VA OUTPATIENT CLINIC, NEW LONDON, CT 06320-4956
(860) 437-3611
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
040856
CT
Other
Enumeration date
10/03/2006
Last updated
02/07/2014
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