KEVIN COURTNEY SMITH

SODA SPRINGS, ID
NPI1790244721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: ID  2696)
Enumeration Date2019-03-19
Last Update Date2019-03-19
Business Address
KEVIN COURTNEY SMITH DPT
300 S 3RD W
SODA SPRINGS, ID 83276-1559
Phone number: 208-547-2781
Mailing Address
KEVIN COURTNEY SMITH DPT
300 S 3RD W
SODA SPRINGS, ID 83276-1559
Phone number: 208-547-2781