Dr KENNETH R SMITH is a male medical professional, specializing in Nurse Practitioner. He graduated in 2019 from University Of Utah School Of Medicine.
PCCA TEXAS INTENSIVISTS, PLLC
1900 PINE ST
ABILENE
TX
796012432
Tel: 8006552656
| Npi | 1083275630 |
| Pac Id | 4486980497 |
| Professional Enrollment Id | I20190730000700 |
| Last Name | SMITH |
| First Name | KENNETH |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | PCCA TEXAS INTENSIVISTS, PLLC |
| Group Practice Pac Id | 7517290109 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 1900 PINE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ABILENE |
| State | TX |
| Zip Code | 796012432 |
| Phone Number | 8006552656 |
| Hospital Affiliation Ccn 1 | 450229 |
| Hospital Affiliation Lbn 1 | HENDRICK MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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