Active NPIIndividual providerSole proprietor

Kenneth Smith Jr., DO

Anesthesiology in Mullica Hill, New Jersey

NPI Number1760431209
Practice location
123 Willow Oak Lane, Mullica Hill, NJ 08062
Fax
856-417-3089
Last updated
October 2, 2018

Kenneth Smith is an Anesthesiology based in Mullica Hill, NJ. Kenneth Smith practices in Mullica Hill, NJ and has the professional credentials of DO. The NPI Number for Kenneth Smith is 1760431209 and holds a License No. MB66187 (NJ). The current practice location address for Kenneth Smith is 123 Willow Oak Lane, Mullica Hill, NJ 08062 and can be reached out via phone at 856-237-4126 and via fax at 856-417-3089.

Provider Profile Details

NPI Number
1760431209
Provider Name
Kenneth Smith
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
123 Willow Oak Lane, Mullica Hill, NJ 08062
Phone Number
856-237-4126
Fax Number
856-417-3089
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2006
Last Update Date
October 2, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Willow Oak Lane
Mullica Hill, NJ 08062
Zip
08062
Phone Number
856-237-4126
Fax Number
856-417-3089
Mullica Hill, NJ 08062Get directions →

Provider Business Mailing Address Details

Address
123 Willow Oak Lane
Mullica Hill, NJ 08062
City
Mullica Hill
State
NJ
Zip
08062
Phone Number
856-220-0630

License Information

License Number (1)
MB66187
License State (1)
NJ
License Number (2)
25MB06618700
License State (2)
NJ
Taxonomy (2)
Anesthesiology · 207L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth Smith Jr., DO?

The NPI number of Kenneth Smith Jr., DO is 1760431209. It was assigned on May 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Kenneth Smith Jr., DO?

Kenneth Smith Jr., DO is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NJ under license number MB66187.

Where does Kenneth Smith Jr., DO practice?

The practice location is 123 Willow Oak Lane, Mullica Hill, NJ 08062. The office can be reached at 856-237-4126 (phone) or 856-417-3089 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760431209 directly on the NPPES registry website.

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