KENNETH SMITH

CANNON AFB, NM
NPI1376945261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: WV  APRN66962-NP-C)
Enumeration Date2014-09-23
Last Update Date2018-12-14
Business Address
Dr. KENNETH SMITH DNP
224 W D. L. INGRAM AVE
CANNON AFB, NM 88103-5103
Phone number: 575-784-1104
Mailing Address
Dr. KENNETH SMITH DNP
224 W D.L. INGRAM AVE
CANNON AFB, NM 88103-5103
Phone number: 575-784-1104