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Individual

DR. KEVIN LYNN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
70 W CHESTNUT ST, KINGSTON, NY 12401-5930
(845) 430-0955
(845) 339-5460
Mailing address
70 W CHESTNUT ST, KINGSTON, NY 12401-5930
(845) 430-0955
(845) 339-5460

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
153275-1
NY
2084P0800X
Psychiatry Physician
153275-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
153275-1
NY STATE LICENSE
NY
Enumeration date
12/08/2006
Last updated
09/11/2025
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