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1942396023
KENNETH R SMITH
GLENDALE, AZ
NPI
1942396023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 1718)
Enumeration Date
2006-10-05
Last Update Date
2024-07-31
Business Address
KENNETH R SMITH D.O.
6040 N 43RD AVE STE 1
GLENDALE, AZ 85301-5481
Phone number: 623-931-2221
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Mailing Address
KENNETH R SMITH D.O.
3815 E BELL RD STE 4500
PHOENIX, AZ 85032-2171
Phone number: 602-633-3848
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