Individual
DR. JENNIFER KOH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7141 SECURITY BLVD, BALTIMORE, MD 21244-1811
(443) 663-6340
Mailing address
8166 TAMAR DR, COLUMBIA, MD 21045-2896
(443) 676-1071
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14506
CA
152W00000X
Optometrist
3426AT
OR
152W00000X
Optometrist
Primary
TA2565
MD
Other
Enumeration date
08/22/2011
Last updated
06/03/2021
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