Provider Demographics
NPI:1912027616
Name:SMITH, KEVIN L (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:L
Last Name:SMITH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10330 MERIDIAN AVE N
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9451
Mailing Address - Country:US
Mailing Address - Phone:206-368-6100
Mailing Address - Fax:206-368-6101
Practice Address - Street 1:10330 MERIDIAN AVE N
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9451
Practice Address - Country:US
Practice Address - Phone:206-368-6100
Practice Address - Fax:206-368-6101
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2015-02-04
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Provider Licenses
StateLicense IDTaxonomies
WAMD00032910207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery