Organization
SMITH SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH G. SMITH M.D. (PHYSICIAN)
(314) 842-6183
Entity
Organization
Contact information
Practice address
12348 OLD TESSON RD, SUITE 180, SAINT LOUIS, MO 63128-2215
(314) 842-6183
(314) 842-6184
Mailing address
12348 OLD TESSON RD, SUITE 180, SAINT LOUIS, MO 63128-2215
(314) 842-6183
(314) 842-6184
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
MO
Other
Enumeration date
09/22/2006
Last updated
07/21/2022
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