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Individual

DR. KEVIN LEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
6655 CORTLAWN CIR S, MINNEAPOLIS, MN 55426-1557
(763) 639-5327
Mailing address
18510 25TH AVE N, PLYMOUTH, MN 55447-2016
(763) 639-5327

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R096446-3
MN

Other

Enumeration date
05/03/2006
Last updated
06/30/2021
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