Smith, Kenneth J
Smith, Kenneth J is an individual health care provider with primary practice located at 8300 Constitution Ave. Ne Presbyterian Oncology Kaseman Hospital, Albuquerque NM 87110-7613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Smith, Kenneth J can be contacted via phone (505) 559-6199.Contact Information
Primary practice address
8300 Constitution Ave. Ne Presbyterian Oncology Kaseman Hospital
Albuquerque NM 87110-7613
Phone: (505) 559-6199
Fax: (505) 559-6101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 041965 | Connecticut |
Profile Details
| NPI number | 1073506531 |
|---|---|
| LBN Legal business name | Smith, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Aug 12th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073506531 | NPPES |
| Other | 2V5874 | HEALTHNET | |
| Other | 010041965CT03 | HEALTHNET | |
| MEDICAID | 001419656 | HEALTHNET | |
| Other | 041965 | HEALTHNET | |
| Other | P3157657 | HEALTHNET |
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