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1780143784
KENNETH ANDREW SMITH
PORTSMOUTH, VA
NPI
1780143784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: VA 0102206341)
Enumeration Date
2019-03-19
Last Update Date
2023-06-08
Business Address
KENNETH ANDREW SMITH DO
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-2339
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Mailing Address
KENNETH ANDREW SMITH DO
1550 TOMCAT BLVD
VIRGINIA BEACH, VA 23460-2218
Phone number: 757-953-3933
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