08D0861879 CLIA NUMBER - KENNETH R SMITH MD

Laboratory Demographics

CLIA Number: 08D0861879

Facility Name: KENNETH R SMITH MD

Facility Address:
8991 REDDEN RD
BRIDGEVILLE, DE
ZIP 19933
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Facility Phone Number: 302 337-3300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316029077

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	08D0861879
LAB Type	Physician Office
Facility Name	KENNETH R SMITH MD
Street	8991 REDDEN RD
City	BRIDGEVILLE
State	DE
ZIP	19933
Phone	302 337-3300
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024