Mr. Kenneth A Smith
Rheumatology
1234 East Dupont Road Suite 5
Fort Wayne
, Indiana 46825
Mr. Kenneth A Smith
Rheumatology
1234 East Dupont Road Suite 5
Fort Wayne
, Indiana 46825
(260) 459-5664
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Mr. Kenneth A Smith
- 1234 East Dupont Road Suite 1
- Fort Wayne, IN
- Zip : 46825
- Fax : (260) 459-5664
- Phone : (260) 373-9728
Second Address
- Mr. Kenneth A Smith
- 1234 East Dupont Road Suite 5
- Fort Wayne, IN
- Zip : 46825
- Fax : (260) 489-3255
- Phone : (260) 489-1666
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FAQs
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Is Mr. Kenneth A Smith a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 01022346 | IN |
National Provider Identifier
| NPI | 1003907304 |
|---|---|
| Provider Name | Mr. Kenneth A Smith |
| First Address | Fort Wayne, IN 46825 |
| Second Address | Fort Wayne, IN 46825 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 03/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000006713 | M PLAN (01) | |
| 000000206530 | ANTHEM (01) | |
| 000000637485 | ANTHEM (01) | IN |
| 100108770A | (05) | IN |
| 1866 | PHP (01) | |
| 200092670 | (05) | IN |
| 4351567 | AETNA (01) | |
| C24505 | (02) | |
| P00786840 | R.R. MEDICARE (01) | IN |
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.