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Dr. Kenneth Smith II, DNP
Primary Care Nurse Practitioner in Cannon Afb, New Mexico
NPI 1376945261

Kenneth Smith II is a Primary Care Nurse Practitioner based in Cannon Afb, NM and is specialized in Primary Care. Kenneth Smith II practices in Cannon Afb, NM and has the professional credentials of DNP. The NPI Number for Kenneth Smith II is 1376945261 and holds a License No. APRN66962-NP-C (New Mexico).

The current practice location address for Kenneth Smith II is 224 W D. L. Ingram Ave, Cannon Afb, NM and can be reached out via phone at 575-784-1104.

Location: 224 W D. L. Ingram Ave, Cannon Afb, NM, 88103-5103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376945261
Provider Name
Kenneth Smith II
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
224 W D. L. Ingram Ave, Cannon Afb, NM, 88103-5103
Phone Number
575-784-1104
Fax Number
Provider Enumeration Date
09/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
224 W D. L. Ingram Ave
City
Cannon Afb
State
New Mexico
Zip
88103-5103
Phone Number
575-784-1104
Fax Number
person
Provider Business Mailing Address Details
Address
224 W D. L. Ingram Ave
City
Cannon Afb
State
New Mexico
Zip
88103-5103
Phone Number
575-784-1104
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
APRN66962-NP-C (West Virginia)
Definition
Definition to come...
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