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Dr. William Keith Smith SR., DPM
Foot & Ankle Surgery Podiatrist in Shawnee, Oklahoma
NPI 1629050364

William Keith Smith SR. is a Foot & Ankle Surgery Podiatrist based in Shawnee, OK and is specialized in Foot & Ankle Surgery. William Keith Smith SR. practices in Shawnee, OK and has the professional credentials of DPM. The NPI Number for William Keith Smith SR. is 1629050364 and holds a License No. 152 (Oklahoma).

The current practice location address for William Keith Smith SR. is 1627 N Kickapoo Ave, Shawnee, OK and can be reached out via phone at 405-275-8234 and via fax at 405-275-7298.

Location: 1627 N Kickapoo Ave, Shawnee, OK, 74804-4313
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Provider Profile Details
NPI Number
1629050364
Provider Name
William Keith Smith SR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1627 N Kickapoo Ave, Shawnee, OK, 74804-4313
Phone Number
405-275-8234
Fax Number
405-275-7298
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100779540A 05 OK
P01598909 01 OK RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1627 N Kickapoo Ave
City
State
Zip
74804-4313
Phone Number
405-275-8234
Fax Number
405-275-7298
person
Provider Business Mailing Address Details
Address
1627 N Kickapoo Ave
City
State
Zip
74804-4313
Phone Number
405-275-8234
Fax Number
405-275-7298
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
152 (Oklahoma)
Definition
Definition to come...
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