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Dr. Kevin Charles Smith, DCCCSP
Chiropractor in Philadelphia, Pennsylvania
NPI 1518915594

Kevin Charles Smith is a Chiropractor based in Philadelphia, PA. Kevin Charles Smith practices in Philadelphia, PA and has the professional credentials of DCCCSP. The NPI Number for Kevin Charles Smith is 1518915594 and holds a License No. DC003171L (Pennsylvania).

The current practice location address for Kevin Charles Smith is 2875 Holme Ave, Philadelphia, PA and can be reached out via phone at 215-673-1113 and via fax at 215-673-4941.

Location: 2875 Holme Ave, Philadelphia, PA, 19152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518915594
Provider Name
Kevin Charles Smith
Credential
DCCCSP
Provider Entity Type
Individual
Gender
Male
Address
2875 Holme Ave, Philadelphia, PA, 19152
Phone Number
215-673-1113
Fax Number
215-673-4941
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1514680 05 PA
0061028000 01 PA INDEPENDENCE BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2875 Holme Ave
City
Philadelphia
State
Pennsylvania
Zip
19152
Phone Number
215-673-1113
Fax Number
215-673-4941
person
Provider Business Mailing Address Details
Address
2875 Holme Ave
City
Philadelphia
State
Pennsylvania
Zip
19152
Phone Number
215-673-1113
Fax Number
215-673-4941
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC003171L (Pennsylvania)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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