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Individual

KEITH R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 S CLEVELAND AVE, WESTERVILLE, OH 43081-8971
(614) 898-4000
Mailing address
3205 MONTCLAIR AVE, LEWIS CENTER, OH 43035-8970
(740) 549-9930

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35059011
OH

Other

Enumeration date
06/05/2006
Last updated
06/05/2014
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