Individual
KENNETH W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
78-6831 ALI'I DRIVE, SUITE 422, KAILUA-KONA, HI 96740
(808) 747-8321
(808) 322-6005
Mailing address
78-6831 ALI'I DRIVE, SUITE 328, KAILUA-KONA, HI 96740
(808) 747-8321
(808) 331-8682
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DOS1239
HI
207X00000X
Orthopaedic Surgery Physician
OS7300
FL
Other
Enumeration date
06/30/2006
Last updated
08/13/2012
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