Individual
DR. KENNETH RONALD SMOTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 CONNECTICUT AVE NW, 100-C, WASHINGTON, DC 20008-4530
(202) 364-0035
Mailing address
3801 CONNECTICUT AVE NW, 100-C, WASHINGTON, DC 20008-4530
(202) 364-0035
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD10849
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0334
CAREFIRST BLUECROSS
DC
Enumeration date
04/05/2007
Last updated
07/08/2007
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