Individual
DR. KEVIN CURTIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
212 FULTON, RED WING, MN 55066
(651) 388-3212
(651) 385-0255
Mailing address
212 FULTON, RED WING, MN 55066
(651) 388-3212
(651) 385-0255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1594
WI
111N00000X
Chiropractor
Primary
2046
MN
111N00000X
Chiropractor
CH0003658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060228100
—
MN
01
—
70D31SM
BCBS
—
Enumeration date
11/29/2006
Last updated
03/08/2013
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