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1033101126
KENNETH WAYNE SMITH
KINGSPORT, TN
NPI
1033101126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: TN MD020006)
Enumeration Date
2005-08-16
Last Update Date
2020-10-22
Business Address
KENNETH WAYNE SMITH MD
2 SHERIDAN SQ SUITE 200
KINGSPORT, TN 37660-7399
Phone number: 423-246-8061
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Mailing Address
KENNETH WAYNE SMITH MD
2 SHERIDAN SQ STE 200
KINGSPORT, TN 37660-7399
Phone number: 423-246-8061
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