Individual
KEVIN WILLIAM SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN-STANTON DR, SUITE 1E50, NEWARK, DE 19718
(302) 733-1980
(302) 733-1986
Mailing address
4755 OGLETOWN-STANTON RD, SUITE 1E50, NEWARK, DE 19718
(302) 733-1980
(302) 733-1986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0001161
MD
363A00000X
Physician Assistant
CS-0000589
DE
363AS0400X
Surgical Physician Assistant
Primary
C0001161
MD
Other
Enumeration date
02/17/2007
Last updated
08/19/2008
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