Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH WARREN SMITH SR., APA-C
Active Sole ProprietorMR. KENNETH WARREN SMITH SR., APA-C is a Physician Assistant healthcare provider located in TAMC, Hawaii. NPI 1700969649 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TAMC, HI
Registration Details
- NPI Number
- 1700969649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.792283423604 yrs)
- Last Updated
- Oct 22, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 JARRETT WHITE RDTRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QSTAMC, HI, 968595001Browse HI providers · Browse ZIP 96859
- Phone
- 8084332460
- Fax
- 8084331558
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TAMC, HI
| Name | Credential | NPI |
|---|---|---|
| MR. ROY ERICKSON WALLACE | PA | 1134191885 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.