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Individual

DR. KENNETH GORDON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2332 PINE RIDGE RD, NAPLES, FL 34109-2003
(239) 434-7000
(239) 643-8503
Mailing address
2332 PINE RIDGE RD, NAPLES, FL 34109-2003
(239) 434-7000
(239) 643-8503

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AY1337
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AY1337
AUDIOLOGIST
FL
Enumeration date
07/18/2006
Last updated
07/08/2007
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