Individual
KEVIN SMITH - HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3258 15TH PL SE, WASHINGTON, DC 20020-2931
(240) 860-3022
Mailing address
3258 15TH PL SE, WASHINGTON, DC 20020-2931
(240) 860-3022
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70711757
—
DC
Enumeration date
03/28/2018
Last updated
03/28/2018
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