Individual
KEVIN SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35640 W MICHIGAN AVE, WAYNE, MI 48184-1628
(734) 729-7792
(734) 729-7938
Mailing address
320 TOLEDO ST, ADRIAN, MI 49221-2831
(724) 770-7063
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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