IndividualActive
Kenneth Smith, MD
NPI 1962067439 · Ophthalmology Physician · High Rolls, NM
Provider details
- NPI number
- 1962067439
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 73-70 (NM)
Mailing address
Po Box 442
High Rolls Mountain Park, NM 88325-0442
Registry dates
- Enumerated
- 2019-05-09
- Last updated
- 2019-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.