Kennedy Alexandra Smith, is a
Student In An Organized Health Care Education/training Program based in Knoxville, Tennessee. Kennedy Alexandra Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is
2455 Sutherland Ave Bldg A, Knoxville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 360-0245.
NPI number for Kennedy Alexandra Smith is 1003641796 and her current mailing address is 1641 Wheaton Pl, Knoxville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003641796.
Healthcare Provider's Profile
| Full Name | Kennedy Alexandra Smith |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2455 Sutherland Ave Bldg A, Knoxville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003641796
- Provider Enumeration Date: 09/03/2024
- Last Update Date: 09/03/2024
Medical Identifiers
Medical identifiers for Kennedy Alexandra Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003641796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kennedy Alexandra Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kennedy Alexandra Smith,
1641 Wheaton Pl,
Knoxville, TN 37919-8982
Ph: (865) 360-0245 | Kennedy Alexandra Smith,
2455 Sutherland Ave Bldg A,
Knoxville, TN 37919-2355
Ph: (865) 360-0245 |
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