NPI 1760838726

Keith Dorman Smith

Practitioner Private Vehicle Colorado Springs, CO

Practice location

Address: 2910 N Powers Blvd Suite 139, Colorado Springs, CO 80922-2801
Phone: (719) 232-5240
Mailing address: 6716 Snowy Range Dr, Colorado Springs, CO 80923-5192

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence LL-03194 (CO)

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Registry record

NPI: 1760838726
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2016
Record last updated: 9 May 2016

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.