Individual
DR. KEVIN MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1903 BROOKSIDE DRIVE, KINGSPORT, TN 37660-4617
(423) 390-1064
(423) 390-1123
Mailing address
1903 BROOKSIDE DRIVE, KINGSPORT, TN 37660-1301
(423) 390-1064
(423) 390-1123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36768
TN
Other
Enumeration date
08/21/2012
Last updated
05/16/2024
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