Individual
KECIA RAE SMETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6677 W THUNDERBIRD RD STE A124, NO APPOINTMENT MD, GLENDALE, AZ 85306-3710
(623) 773-2266
(623) 773-2267
Mailing address
PO BOX 60123, NO APPOINTMENT MD, PHOENIX, AZ 85082-0123
(602) 992-7700
(602) 971-2572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4730
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
443243
—
AZ
Enumeration date
05/02/2007
Last updated
04/12/2011
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