Ryan Kenneth Smith, MD Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · New Haven, CT
- NPI
- 1902336977
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2017-06-13
- Last updated
- 2022-07-21
Practice location
1450 Chapel Street, Src Adult Primary Care Clinic
New Haven, CT 06511
(203) 789-4044