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Kevin Dennis Smith, D.P.M.

Podiatrist, Foot & Ankle Surgery in Moline, IL. Individual provider (NPI-1).

NPI number1982606927
StatusActive
Last updated in NPPESMar 16, 2015

Details

NPI
1982606927
Entity type
Individual (NPI-1)
Name
Kevin Dennis Smith
Credential
D.P.M.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 10, 2005
Last updated
Mar 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery016-4863ILYes

Practice location

505 Valley View Dr Ste 1
Moline, IL 61265-6138

Phone 309-762-7919 · Fax 309-762-3261

Mailing address

505 Valley View Dr Ste 1
Moline, IL 61265-6138

Phone 309-762-7919 · Fax 309-762-3261

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Other Foot & Ankle Surgery Podiatrist providers in Moline, IL

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