Doctor Name: | KENNETH EUGENE SMITH |
NPI Number: | 1205872389 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 23146 |
Business Practice Address: | 4 Indigo Run Dr Villa #823 Hilton Head Island, SC - 299264150 |
Business Phone Number: | 8436814160 |
Business Fax Number: | 8436814160 |
Mailing Address: | 4 Indigo Run Dr, Villa #823 HILTON HEAD ISLAND |
State: | SC |
Postal Code: | 299264150 |
Phone Number: | 8436814160 |
Fax Number: | 8436814160 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 23146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |