Individual
MR. KENNETH A SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 NEW HOPE CHURCH RD, RALEIGH, NC 27604-2612
(347) 484-8391
Mailing address
2400 NEW HOPE CHURCH RD, RALEIGH, NC 27604-2612
(347) 484-8391
Taxonomy
Speciality
Code
Description
License number
State
2278P4000X
Patient Transport Certified Respiratory Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-3418877
—
NC
Enumeration date
10/21/2019
Last updated
10/21/2019
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