Individual
KENNETH B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 HOUMA BLVD FL 3, METAIRIE, LA 70006-2970
(504) 503-5205
(504) 503-6019
Mailing address
4200 HOUMA BLVD FL 3, METAIRIE, LA 70006-2970
(504) 503-5205
(504) 503-6019
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD.012364
LA
207RP1001X
Pulmonary Disease Physician
12364
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1192554
—
LA
Enumeration date
03/17/2006
Last updated
02/19/2018
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