Individual
KEVIN S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7525 LINDA VISTA RD STE C, SAN DIEGO, CA 92111-5344
(619) 398-2988
(619) 398-2987
Mailing address
7525 LINDA VISTA RD STE C, SAN DIEGO, CA 92111-5344
(619) 398-2988
(619) 398-2987
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G70647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28441
MEDICAL LICENSE
WV
01
—
G70647
MEDICAL LICENSE
CA
Enumeration date
06/27/2006
Last updated
01/03/2024
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