Smith, Kenneth Ray

Smith, Kenneth Ray is an individual health care provider with primary practice located at 7610 40Th St W Ste 300 , University Place WA 98466-3834. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Smith, Kenneth Ray can be contacted via phone (253) 830-6242.

Contact Information

Primary practice address
7610 40Th St W Ste 300 University Place WA 98466-3834
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1285191650
LBN Legal business name Smith, Kenneth Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2019
Last updated Feb 24th, 2022 - about 4 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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