Keith Smith

NPI #1215309836 in Lucas, Ohio

Provider Information

NPI Number: 1215309836
Entity Type: Individual
Name: Keith Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Oct 22, 2015
Last Updated: Oct 22, 2015

Practice Location

Address: 1755 STATE ROUTE 39
City: Lucas
State: Ohio
ZIP Code: 44843
Phone: (419) 631-8870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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