NPI 1235255514

Ken Isaiah Smith, LAC

Practitioner Acupuncturist Lacey, WA

Practice location

Address: 3663 College St SE STE F, Lacey, WA 98503-2303
Phone: (360) 923-0826
Mailing address: 3622 Landau Ave NE, Olympia, WA 98506-5373

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 428 (WA)

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Registry record

NPI: 1235255514
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2007
Record last updated: 2 Aug 2022

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.