Smith, Kenneth Roger
Smith, Kenneth Roger is an individual health care provider with primary practice located at 2004 Valencia Dr Ne , Albuquerque NM 87110-5210. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Smith, Kenneth Roger can be contacted via phone (505) 398-7843.Contact Information
Primary practice address
2004 Valencia Dr Ne
Albuquerque NM 87110-5210
Phone: (505) 398-7843
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | New Mexico |
Profile Details
| NPI number | 1447953237 |
|---|---|
| LBN Legal business name | Smith, Kenneth Roger |
| Credentials | CCSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2023 |
| Last updated | Mar 22nd, 2023 - about 2 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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