Individual provider · Type 1 NPI

Kennth Allen Smith

Peer Specialist · Poplar Bluff, MO

NPI number 1669342986 Active

Practice location

686 Lester St
Poplar Bluff, MO 63901-5025

Call (573) 686-1200 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1669342986

Kennth Allen Smith's National Provider Identifier is 1669342986, issued on Nov 11, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Nov 11, 2025.