Kevin Van Smaalen, MD
Pathology, Anatomic Pathology & Clinical Pathology in Atlanta, GA. Individual provider (NPI-1).
NPI number1669905964
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1669905964
- Entity type
- Individual (NPI-1)
- Name
- Kevin Van Smaalen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2017
- Certification date
- Aug 27, 2023
- Last updated
- Aug 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 94944 | GA | Yes |
Practice location
1968 Peachtree Rd NwAtlanta, GA 30309-1281
Phone 404-605-2054
Mailing address
536 Rimrock TrlStone Mountain, GA 30083-4555
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