Individual
DR. KEVIN MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1832 SCOTT RD, STE B1, FREELAND, WA 98249-9475
(208) 874-3979
Mailing address
1832 SCOTT RD, STE B1, FREELAND, WA 98249-9475
(208) 874-3979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 60040139
WA
Other
Enumeration date
12/06/2007
Last updated
12/15/2020
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