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Kenneth R Smith, DO
Family Medicine Physician in Glendale, Arizona
NPI 1942396023

Kenneth R Smith is a Family Medicine Physician based in Phoenix, AZ. Kenneth R Smith practices in Glendale, AZ and has the professional credentials of DO. The NPI Number for Kenneth R Smith is 1942396023 and holds a License No. 1718 (Arizona).

The current practice location address for Kenneth R Smith is 6040 N 43Rd Ave Ste 1, Glendale, AZ and can be reached out via phone at 623-931-2221 and via fax at 623-934-2849. You can also correspond with Kenneth R Smith through the mailing address at 3815 E BELL RD STE 2200, PHOENIX, AZ - 85032-2139 (mailing address contact number: 602-633-3848).

Location: 6040 N 43Rd Ave Ste 1, Glendale, AZ, 85032-2139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942396023
Provider Name
Kenneth R Smith
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6040 N 43Rd Ave Ste 1, Glendale, AZ, 85032-2139
Phone Number
623-931-2221
Fax Number
623-934-2849
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0067790 01 AZ BCBS
259566 05 AZ
institution
Provider Business Practice Location Address Details
Address
6040 N 43Rd Ave Ste 1
City
Glendale
State
Arizona
Zip
85301-5481
Phone Number
623-931-2221
Fax Number
623-934-2849
person
Provider Business Mailing Address Details
Address
6040 N 43Rd Ave Ste 1
City
Glendale
State
Arizona
Zip
85301-5481
Phone Number
623-931-2221
Fax Number
623-934-2849
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
1718 (Arizona)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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