Kevin James Smith
Kevin James Smith is a Physician Assistant in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
750 E Adams StSyracuse, NY 13210-1834
Phone: (315) 464-5240
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 017009 (NY) |
Record details
| NPI number | 1265869648 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2013 |
| Last updated in NPPES | April 17, 2023 |
| Certification date | April 17, 2023 |
| Mailing address | 750 E Adams St, Syracuse, NY 13210-1834 |
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