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Individual

MR. KENNETH WARREN SMITH SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APA-C

Contact information

Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS, TAMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 400-2846

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/23/2006
Last updated
10/22/2015
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