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1891468450
KENNETH RAY SMITH
MOBILE, AL
NPI
1891468450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-137968)
Enumeration Date
2021-07-29
Last Update Date
2021-07-29
Business Address
Mr. KENNETH RAY SMITH APRN
1924K DAUPHIN ISLAND PKWY
MOBILE, AL 36605-3004
Phone number: 850-226-6801
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Mailing Address
Mr. KENNETH RAY SMITH APRN
1924K DAUPHIN ISLAND PKWY
MOBILE, AL 36605-3004
Phone number: 850-226-6801
Copy
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