Organization
RHEUMATOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH A SMITH MD (OWNER PHYSICIAN)
(260) 489-1666
Entity
Organization
Contact information
Practice address
1234 EAST DUPONT ROAD, SUITE 5, FORT WAYNE, IN 46825-1545
(260) 489-1666
(260) 489-3255
Mailing address
1234 EAST DUPONT ROAD, SUITE 5, FORT WAYNE, IN 46825-1545
(260) 489-1666
(260) 489-3255
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
01022346
IN
207RR0500X
Rheumatology Physician
Primary
01043264
IN
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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