Individual
KEVIN HARRIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 388-2303
(304) 388-2390
Mailing address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 388-2303
(304) 388-2390
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
29494
WV
207RP1001X
Pulmonary Disease Physician
Primary
29494
WV
Other
Enumeration date
07/05/2008
Last updated
06/09/2020
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