Kevin D Smith D P M P C

NPI 1225072697 - Podiatrist - 213E00000X

NPI Details
NPI 1225072697
Enumeration Date 06/16/2006
Last Updated 06/04/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEVIN DENNIS KEVIN
Position PRESIDENT
Phone (309) 762-7919
Fax (309) 517-6483
Practice Location
505 VALLEY VIEW DR STE 1
MOLINE IL, 61265-6138, US
Phone (309) 762-7919
Fax (309) 517-6483
Business Location
505 VALLEY VIEW DR STE 1
MOLINE IL, 61265-6138, US
Phone (309) 762-7919
Fax (309) 517-6483
Toxanomy
Taxonomy Code 213E00000X
License State Illinois
License Number 016-004863
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According to our database, Kevin D Smith D P M P C NPI is 1225072697, taxonomy code is 213E00000X and license number is 016-004863, license state is located at Illinois. Kevin D Smith D P M P C physically located at 505 Valley View Dr Ste 1, Moline IL, 61265-6138. NPI Number 1033115704 has the healthcare provider type.

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1225072697 NPI number is provided on an as is basis without warranty of any kind. 1225072697 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin D Smith D P M P C are for informational purposes only.