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1003907304
KENNETH A SMITH
FORT WAYNE, IN
NPI
1003907304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: IN 01022346)
Enumeration Date
2006-09-28
Last Update Date
2012-08-03
Business Address
Mr. KENNETH A SMITH MD
1234 EAST DUPONT ROAD SUITE 5
FORT WAYNE, IN 46825
Phone number: 260-489-1666
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Mailing Address
Mr. KENNETH A SMITH MD
1234 EAST DUPONT ROAD SUITE 1
FORT WAYNE, IN 46825
Phone number: 260-373-9728
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