Kenneth Wayne Smith
Neurosurgeon
2 Sheridan Sq Suite 200
Kingsport
, Tennessee 37660-7399
Kenneth Wayne Smith
Neurosurgeon
2 Sheridan Sq Suite 200
Kingsport
, Tennessee 37660-7399
(423) 243-8278
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Kenneth Wayne Smith
- 2 Sheridan Sq Ste 200
- Kingsport, TN
- Zip : 37660-7399
- Fax : (423) 243-8278
- Phone : (423) 246-8061
Second Address
- Kenneth Wayne Smith
- 2 Sheridan Sq Suite 200
- Kingsport, TN
- Zip : 37660-7399
- Fax : (423) 243-8278
- Phone : (423) 246-8061
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | MD020006 | TN |
National Provider Identifier
| NPI | 1033101126 |
|---|---|
| Provider Name | Kenneth Wayne Smith |
| First Address | Kingsport, TN 37660-7399 |
| Second Address | Kingsport, TN 37660-7399 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2005 |
| Last Update Date | 22/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3047670 | (05) | TN |
| D42376 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.