Individual
DR. KENNETH SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1905
(530) 634-4623
Mailing address
15301 WARREN SHINGLE RD BLDG 5700, BEALE AFB, CA 95903-1905
(530) 634-4114
(530) 634-4763
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
63613
NM
Other
Enumeration date
09/23/2014
Last updated
12/11/2025
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