KEVIN SMITH

MICHIGAN CITY, IN
NPI1396716460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000208A)
Enumeration Date2006-01-27
Last Update Date2021-03-22
Business Address
KEVIN SMITH P.A.
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360-6312
Phone number: 219-861-8161
Mailing Address
KEVIN SMITH P.A.
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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