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Individual

KEVIN KIMBERLY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1550 S PIONEER WAY STE 100, MOSES LAKE, WA 98837-4637
(509) 765-6525
Mailing address
1550 S PIONEER WAY STE 100, MOSES LAKE, WA 98837-4637
(509) 765-6525

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00023951
WA
208D00000X
General Practice Physician
Primary
MD00023951
WA

Other

Enumeration date
12/14/2006
Last updated
09/11/2025
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