Individual
KENNETH R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
Mailing address
449 APPLE BLOSSOM DR, ABILENE, TX 79602-6009
(801) 471-8870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
306577
AZ
363L00000X
Nurse Practitioner
70622
NM
363LA2100X
Acute Care Nurse Practitioner
9037845-8900
UT
363LA2100X
Acute Care Nurse Practitioner
AP141978
TX
Other
Enumeration date
06/25/2019
Last updated
08/11/2025
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