Individual
KENNETH EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3911 1ST ST SE APT 201, WASHINGTON, DC 20032-2349
(202) 455-3642
Mailing address
3911 1ST ST SE APT 201, WASHINGTON, DC 20032-2349
(202) 455-3642
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
DC
Enumeration date
03/19/2021
Last updated
03/19/2021
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