Individual
DR. KENNETH RONALD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 W PARKVIEW ST, SUITE 2D, BOLIVAR, MO 65613-8279
(417) 777-2663
(417) 777-2666
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
(417) 328-6338
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MDR3K38
MO
Other
Enumeration date
08/16/2006
Last updated
12/10/2015
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