Kevin Kimberly Smith, MD is a
General Practice physician based in Moses Lake, Washington. Kevin Kimberly Smith is licensed to practice in Washington (license number MD00023951) and his current practice location is 1550 S Pioneer Way Ste 100, Moses Lake, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 765-6525.
NPI number for Kevin Kimberly Smith is 1790847952 and his current mailing address is 1550 S Pioneer Way Ste 100, Moses Lake, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790847952.
Physician's Profile
Full Name | Kevin Kimberly Smith |
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Gender | Male |
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Speciality | General Practice |
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Location | 1550 S Pioneer Way Ste 100, Moses Lake, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790847952
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kevin Kimberly Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790847952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD00023951 (Washington) | Primary |
208D00000X | General Practice | MD00023951 (Washington) | 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. Kevin Kimberly 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 |
Kevin Kimberly Smith, MD 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837-4637 Ph: (509) 765-6525 | Kevin Kimberly Smith, MD 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837-4637 Ph: (509) 765-6525 |
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