Smith, Kenneth E

Smith, Kenneth E is an individual health care provider with primary practice located at 30795 23 Mile Rd Ste 201 , Chesterfield MI 48047-5721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Kenneth E can be contacted via phone (586) 421-1600.

Contact Information

Primary practice address
30795 23 Mile Rd Ste 201 Chesterfield MI 48047-5721
Phone: (586) 421-1600
Fax: (586) 421-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301059550 Michigan

Profile Details

NPI number 1962409961
LBN Legal business name Smith, Kenneth E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962409961 NPPES
Michigan Other 700E04360 BLUE CROSS BLUE SHIELDS OF MICHIGAN

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