Individual
KEVIN L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 N SENATE AVE STE 200, INDIANAPOLIS, IN 46202-3297
(317) 963-0156
(317) 963-2711
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01062192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200839830
—
IN
Enumeration date
07/14/2006
Last updated
07/11/2025
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