Kevin D Smith D P M P C

NPI #1225072697 in Moline, Illinois

Provider Information

NPI Number: 1225072697
Entity Type: Organization
Organization Name: Kevin D Smith D P M P C
Primary Specialty: Podiatrist
Enumeration Date: Jun 16, 2006
Last Updated: Jun 4, 2015

Practice Location

Address: 505 VALLEY VIEW DR STE 1
City: Moline
State: Illinois
ZIP Code: 61265-6138
Phone: (309) 762-7919

Authorized Official

Name: KEVIN DENNIS SMITH, DPM
Title: PRESIDENT
Phone: (309) 762-7919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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