Smith, Kenneth Lamont
Smith, Kenneth Lamont is an individual health care provider with primary practice located at 8251 Pine Rd , Cincinnati OH 45236-2191. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Smith, Kenneth Lamont can be contacted via phone (833) 781-7611.Contact Information
Primary practice address
8251 Pine Rd
Cincinnati OH 45236-2191
Phone: (833) 781-7611
Fax: (859) 572-2326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 19102 | Kentucky |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35050367 | Ohio |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 35050367 | Ohio |
Profile Details
| NPI number | 1609872860 |
|---|---|
| LBN Legal business name | Smith, Kenneth Lamont |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | May 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609872860 | NPPES |
| Ohio | MEDICAID | 0563091 | |
| Ohio | MEDICAID | 100328930 | |
| Ohio | MEDICAID | 64191026 |
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