Individual
KEVIN DONALD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
929 BOWMAN RD STE 300, MT PLEASANT, SC 29464-3237
(843) 268-4977
(843) 628-0135
Mailing address
800 CRESCENT CENTRE DR STE 300, FRANKLIN, TN 37067-7285
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9686
SC
Other
Enumeration date
04/19/2019
Last updated
11/25/2019
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