Individual provider · Type 1 NPI
Kenneth R. Smith, NP
Nurse Practitioner · Tucson, AZ
Practice location
6200 N La Cholla Blvd
Tucson, AZ 85741-3529
Mailing address
449 Apple Blossom Dr
Abilene, TX 79602-6009
Other practice locations
- 1900 Pine St, Abilene, TX 79601-2432 · (800) 655-2656
- 449 Apple Blossom Dr, Abilene, TX 79602-6009 · (801) 471-8870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 70622 (NM) |
| Acute Care Nurse Practitioner | 363LA2100X | 9037845-8900 (UT) |
| Acute Care Nurse Practitioner | 363LA2100X | AP141978 (TX) |
| Nurse Practitioner Primary | 363L00000X | 306577 (AZ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1083275630
Kenneth R. Smith, NP's National Provider Identifier is 1083275630, issued on Jun 25, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tucson, AZ. The record was last updated on Aug 11, 2025.