National Provider Identifier
Kenny Smith
Kenny Smith is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Kenmore, NY and a listed phone number of (716) 566-5738.
Profile Overview
- NPI
- 1588276141
- Provider Type
- Individual
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- August 17, 2020
- Last Updated
- August 17, 2020
Practice Location
- 262 Woodward Ave
- Kenmore, NY 14217-1539
Phone: (716) 566-5738
Specialties
- Marriage & Family Therapist (106H00000X)
Full Record
- NPI
- 1588276141
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Kenny
- Mailing Street Address
- 262 Woodward Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1539
- Mailing Country
- US
- Mailing Phone
- (716) 566-5738
- Practice Street Address
- 262 Woodward Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1539
- Practice Country
- US
- Practice Phone
- (716) 566-5738
- Enumeration Date
- August 17, 2020
- Last Updated
- August 17, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 17, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Marriage & Family Therapist (106H00000X)