Individual
DR. KENT J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1543 W 12600 S STE 102, RIVERTON, UT 84065-7176
(801) 563-5121
(801) 566-3926
Mailing address
3738 S SPINNAKER BAY DR, SARATOGA SPRINGS, UT 84045-4769
(801) 505-3095
(855) 763-4499
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8759217-1205
UT
207RG0100X
Gastroenterology Physician
M5997
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002770000
—
ID
01
—
P00659685
MCRR
ID
Enumeration date
06/15/2006
Last updated
11/13/2024
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