Individual
LEONARD K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 E FRANKLIN ST, KENTON, OH 43326-2170
(937) 592-9545
(937) 592-9790
Mailing address
PO BOX 341, BELLEFONTAINE, OH 43311-0341
(937) 592-9545
(937) 592-9790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3658-01
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000199084
ANTHEM
OH
05
—
0223912
—
OH
Enumeration date
07/21/2006
Last updated
07/09/2007
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