Individual
DR. KENNETH LAMONT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8251 PINE RD, CINCINNATI, OH 45236-2191
(833) 781-7611
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19102
KY
207P00000X
Emergency Medicine Physician
35050367
OH
208D00000X
General Practice Physician
Primary
35050367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0563091
—
OH
05
—
100328930
—
IN
05
—
64191026
—
KY
Enumeration date
06/22/2005
Last updated
05/12/2021
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