Organization
KENNY E. SMITH M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNY E SMITH M.D. (PHYSICIAN/OWNER)
(256) 543-1100
Entity
Organization
Contact information
Practice address
760 CHESTNUT ST, GADSDEN, AL 35901-4147
(256) 543-1100
(256) 543-1101
Mailing address
760 CHESTNUT ST, GADSDEN, AL 35901-4147
(256) 543-1100
(256) 543-1101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51080192
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/20/2006
Last updated
08/22/2020
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