Individual provider · Type 1 NPI
Kenneth Smith Ii, DNP
Primary Care Nurse Practitioner · Beale Afb, CA
NPI number
1376945261
Active
Practice location
15301 Warren Shingle Rd
Beale Afb, CA 95903-1905
Mailing address
15301 Warren Shingle Rd Bldg 5700
Beale Afb, CA 95903-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 63613 (NM) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1376945261
Kenneth Smith Ii, DNP's National Provider Identifier is 1376945261, issued on Sep 23, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Beale Afb, CA. The record was last updated on Dec 11, 2025.