Individual
DR. KENNETH WAYNE SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
96 15TH ST NW, NORTON, VA 24273-1625
(276) 679-3488
Mailing address
479 HILTON RD, GATE CITY, VA 24251-2456
(423) 817-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116032144
VA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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