Individual
MR. KENNETH RAY SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1924K DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3004
(850) 226-6801
(877) 413-5104
Mailing address
1924K DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3004
(850) 226-6801
(877) 413-5104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-137968
AL
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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