Mr Kenneth Smith, MS is a
Psychologist - School based in New Boston, Ohio. Mr Kenneth Smith is licensed to practice in Ohio (license number OU1023241) and his current practice location is
522 Glenwood Ave, New Boston, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 354-0270.
NPI number for Mr Kenneth Smith is 1568864742 and his current mailing address is 522 Glenwood Ave, New Boston, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568864742.
Healthcare Provider's Profile
| Full Name | Mr Kenneth Smith |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - School |
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| Location | 522 Glenwood Ave, New Boston, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568864742
- Provider Enumeration Date: 09/19/2014
- Last Update Date: 09/19/2014
Medical Identifiers
Medical identifiers for Mr Kenneth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568864742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | OU1023241 (Ohio) | 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. Mr Kenneth 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 |
|---|
Mr Kenneth Smith, MS
522 Glenwood Ave,
New Boston, OH 45662-5505
Ph: (740) 354-0270 | Mr Kenneth Smith, MS
522 Glenwood Ave,
New Boston, OH 45662-5505
Ph: (740) 354-0270 |
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