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General NPI Number Information
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NPI Number | 1205875341
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Entity Type | Individual
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Provider Name | KWENDE SMITH DPM
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10 RESEARCH PL SUITE 206
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City | NORTH CHELMSFORD
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State | MA
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Zip | 01863-2439
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Country | US
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Telephone | 978-275-1390
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Fax | 978-275-1394
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Provider Business Mailing Address
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Address Line | PO BOX 2200
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City | AMHERST
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State | NH
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Zip | 03031-4200
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Country | US
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Telephone | 603-673-9411
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Fax | 603-673-9899
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2302
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0312
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License Number State | NH
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