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Contact Information

KEVIN S SMITH, MD
10628 PARK RD
CHARLOTTE, NC28210-8407
 Phone: 704-973-5500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for KEVIN S SMITH · (Male)

NPI # 1114929924
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2005
Last updated 04/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9800702
  • NC Medicaid 8912229
  • NC Other 9800702 STATE MEDICAL BOARD
  • SC Other 21561 STATE MEDICAL BOARD
Hospital affiliation(s)
  • CAROLINAS MED CENTER-MERCY - (Acute Care)
    10628 PARK RD
    CHARLOTTE, NC 28210
  • CAROLINAS MEDICAL CENTER-LINCOLN - (Acute Care)
    433 MCALISTER RD
    LINCOLNTON, NC 28092
  • CAROLINAS MEDICAL CENTER-UNION - (Acute Care)
    600 HOSPITAL DR
    MONROE, NC 28110
  • CAROLINAS MEDICAL CENTER/BEHAV HEALTH - (Acute Care)
    1000 BLYTHE BLVD
    CHARLOTTE, NC 28203
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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