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
Fax: (314) 434-6247
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700855780 NPPES
Missouri Other 080115894 RAILROAD MEDICARE

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