NPI 1194091041

Martin D Smith, RDLD

Practitioner Registered Dietitian Ketchikan, AK

Practice location

Address: 2960 Tongass Ave, Ketchikan, AK 99901-5742
Phone: (907) 228-9441
Fax: (800) 591-0121

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 280 (AK)

Other Dietitian, Registered providers in Alaska →

Registry record

NPI: 1194091041
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Mar 2012
Record last updated: 26 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.