Individual
DR. WILLIAM KEITH SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1627 N KICKAPOO AVE, SHAWNEE, OK 74804-4313
(405) 275-8234
(405) 275-7298
Mailing address
1627 N KICKAPOO AVE, SHAWNEE, OK 74804-4313
(405) 275-8234
(405) 275-7298
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
205
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100779890C
—
OK
01
—
P01598903
RAILROAD MEDICARE
OK
Enumeration date
11/17/2005
Last updated
03/09/2016
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