Smith, Kevin Etwood
Smith, Kevin Etwood is an sole proprietor health care provider with primary practice located at 929 N Val Vista Dr Ste 109 , Gilbert AZ 85234-3701. He recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is his primary health care specialty. Smith, Kevin Etwood can be contacted via phone (480) 862-3648.Contact Information
Primary practice address
929 N Val Vista Dr Ste 109
Gilbert AZ 85234-3701
Phone: (480) 862-3648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | Arizona | |
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | Arizona | |
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | Arizona | |
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | Arizona |
Profile Details
| NPI number | 1790529923 |
|---|---|
| LBN Legal business name | Smith, Kevin Etwood |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2024 |
| Last updated | Aug 5th, 2025 - about last year |
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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