Individual
KEVIN DENNIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
505 VALLEY VIEW DR STE 1, MOLINE, IL 61265-6138
(309) 762-7919
(309) 762-3261
Mailing address
505 VALLEY VIEW DR STE 1, MOLINE, IL 61265-6138
(309) 762-7919
(309) 762-3261
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-4863
IL
Other
Enumeration date
08/10/2005
Last updated
03/16/2015
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