Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEVIN ETWOOD SMITH JR.

Active Sole Proprietor

MR. KEVIN ETWOOD SMITH JR. is a Developmental Disabilities Clinic healthcare provider located in GILBERT, Arizona. NPI 1790529923 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · GILBERT, AZ

Registration Details

NPI Number: 1790529923
Provider Type: Individual
Gender: Male
NPI Issued: Jun 21, 2024 (2.1594236408689 yrs)
Last Updated: Aug 5, 2025
Sole Proprietor: Yes

Practice Information

Address: 929 N VAL VISTA DR STE 109

GILBERT, AZ, 852343701
Browse AZ providers · Browse ZIP 85234
Phone: 4808623648
Primary Specialty: Developmental Disabilities Clinic
261QD1600X
Additional Specialty: Adult Day Care Facility
Additional Specialty: Assisted Living Facility
Additional Specialty: Developmental Disabilities Clinic

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.