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Contact Information

KENNETH J SMITH, MD
8300 CONSTITUTION AVE. NE
PRESBYTERIAN ONCOLOGY KASEMAN HOSPITAL
ALBUQUERQUE, NM87110-7613
 Phone: 505-559-6199
 Fax: 505-559-6101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KENNETH J SMITH · (Male)

NPI Number 1073506531
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2005
Last updated 08/12/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 041965
  • CT Medicaid 001419656
  • Other 2V5874 HEALTHNET
  • Other P3157657 OXFORD
  • CT Other 010041965CT03 ANTHEM BCBS
  • CT Other 041965 CONNECTICARE
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
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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