Kenneth Andrew Smith, DO - Portsmouth, VA

Kenneth Andrew Smith, DO

Military Health Care Provider in Portsmouth, Virginia

NPI 1780143784

Kenneth Andrew Smith is a Military Health Care Provider based in Virginia Beach, VA. Kenneth Andrew Smith practices in Portsmouth, VA and has the professional credentials of DO. The NPI Number for Kenneth Andrew Smith is 1780143784 and holds a License No. 0102206341 (Virginia).

The current practice location address for Kenneth Andrew Smith is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-2339.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23460-2218

NPI Number

1780143784

Provider Name

Kenneth Andrew Smith

Credential

Provider Entity Type

Individual

Gender

Male

Address

620 John Paul Jones Cir, Portsmouth, VA, 23460-2218

Phone Number

757-953-2339

Fax Number

Provider Enumeration Date

03/19/2019

Last Update Date

03/10/2024

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-2339

Fax Number

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-2339

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

0102206341 (Virginia)

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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