Individual
MR. KENDALL PHILIP SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4425 E AGAVE RD STE 148, PHOENIX, AZ 85044-0623
(480) 704-7546
(480) 704-7549
Mailing address
4425 E AGAVE RD STE 148, PHOENIX, AZ 85044-0623
(480) 704-7546
(480) 704-7549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
06/19/2018
Last updated
04/17/2024
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