KENNETH R SMITH

GLENDALE, AZ
NPI1942396023
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  1718)
Enumeration Date2006-10-05
Last Update Date2023-09-22
Business Address
KENNETH R SMITH D.O.
6040 N 43RD AVE STE 1
GLENDALE, AZ 85301-5481
Phone number: 623-931-2221
Mailing Address
KENNETH R SMITH D.O.
3815 E BELL RD STE 2200
PHOENIX, AZ 85032-2139
Phone number: 602-633-3848
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