Individual
DR. KENNETH E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
20126 STANTON AVE, SUITE 205, CASTRO VALLEY, CA 94546-5271
(510) 537-4211
(510) 537-3345
Mailing address
20126 STANTON AVE, SUITE 205, CASTRO VALLEY, CA 94546-5271
(510) 537-4211
(510) 537-3345
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2576
KS
237700000X
Hearing Instrument Specialist
HTL8430
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640002892
RAILROAD MEDICARE
KS
Enumeration date
12/12/2005
Last updated
10/31/2012
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