Individual
MR. KEVIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 MERCED ST, KAISER MEDICAL CENTER, SAN LEANDRO, CA 94577-4201
(510) 454-2069
Mailing address
2500 MERCED ST, KAISER MEDICAL CENTER, SAN LEANDRO, CA 94577-4201
(510) 454-2069
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2182
CA
Other
Enumeration date
05/10/2006
Last updated
01/03/2022
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