Kenneth Smith, MD

NPI 1407002090 · on the registry since 2008 · sole proprietor

Practice

Address: 300 S Park Ave
Pomona, CA 91766
Phone: (909) 623-6333
Fax: (909) 620-8902
Organisation at this address: Blehealth, Llc
Blemedical Supply Llc
Here And Now Foundation, Inc
Carousel Developmental Service
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California