KENNETH SMITH

LAUREL, MS
NPI1740220839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R802471)
Enumeration Date2006-06-07
Last Update Date2019-12-31
Business Address
Mr. KENNETH SMITH CRNA
1220 JEFFERSON ST
LAUREL, MS 39440-4355
Phone number: 601-426-4507
Mailing Address
Mr. KENNETH SMITH CRNA
PO BOX 607
LAUREL, MS 39441-0607
Phone number: 601-426-4507
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