Smith, Kevin B.
Smith, Kevin B. is an individual health care provider with primary practice located at 14377 Woodlake Dr Suite 300, Chesterfield MO 63017-5735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Kevin B. can be contacted via phone (314) 434-3333.Contact Information
Primary practice address
14377 Woodlake Dr Suite 300
Chesterfield MO 63017-5735
Phone: (314) 434-3333
Fax: (314) 434-6247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R7502 | Missouri |
Profile Details
| NPI number | 1700855780 |
|---|---|
| LBN Legal business name | Smith, Kevin B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Aug 19th, 2014 - about 12 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 | 1700855780 | NPPES |
| Missouri | Other | 080115894 | RAILROAD MEDICARE |
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