IndividualActive
Kenneth Smith, MD
NPI 1003907304 · Rheumatology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1003907304
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01022346 (IN)
Practice location
1234 East Dupont Road
Suite 5
Fort Wayne, IN 46825
Phone: (260) 489-1666
Fax: (260) 489-3255
Mailing address
1234 East Dupont Road
Fort Wayne, IN 46825
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2012-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.