MR. KENNETH ROBERT SMITH (NPI# 1235255514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235255514 |
| Entity Type | Individual |
| Full Name | MR. KENNETH ROBERT SMITH |
| Credential | L.AC. |
| Practice Address |
4412 Pacific Ave Se Lacey WA 98503-1119 |
| Mailing Address |
3622 Landau Ave Ne Olympia WA 98506-5373 |
| Practice Telephone | 3609230826 |
| Mailing Telephone | 3609230826 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 428 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680061 | Kenneth Lee Smith | Licensed Practical Nurse | 4905 Frontier Rd, Garland, TX 75043-3506 | 2020-08-18 |
| 1962067439 | Kenneth George Smith | Ophthalmology | 26 Apple Valley Road, High Rolls, NM 88325 | 2019-05-09 |
| 1568933141 | Kenneth Smith | Pharmacist | 4393 Fielding Ln, Norcross, GA 30092-1647 | 2018-12-08 |
| 1639645203 | Kenneth Smith | Social Worker | 311 S Betty Ln Apt 34, Clearwater, FL 33756-5849 | 2018-10-22 |
| 1487105144 | Kenneth Smith | Counselor | 4041 N High St Ste 300n, Columbus, OH 43214-3200 | 2016-10-18 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1942661897 | Kenneth Smith | Counselor | 26 Cahoon Rd, Apt A, Buzzards Bay, MA 02532-4802 | 2016-03-18 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| Street Address |
4412 PACIFIC AVE SE |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871646877 | Anke Ulrike Grimsley | Specialist | 4412 Pacific Ave Se, Suite 203, Lacey, WA 98503-1119 | 2007-01-21 |
| 1346367950 | Manitou Horizons LLC | Contractor | 4412 Pacific Ave Se, Suite # 202, Lacey, WA 98503-1119 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043651920 | Boxin Zhang | Acupuncturist | 677 Woodland Sq Lp Se Suite D3, Lacey, WA 98503-8405 | 2013-07-08 |
| 1922174531 | Brent Swift | Acupuncturist | 4438 Pacific Ave Se, Lacey, WA 98503-1119 | 2006-11-27 |
| 1003331372 | Tara Lynn Davis | Acupuncturist | 3663 College St Se Ste F, Lacey, WA 98503-2303 | 2017-08-08 |
| 1174769574 | Christine Alexis Hansen | Acupuncturist | 4631 Whitman Ln Se, Lacey, WA 98513-2201 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132367 | Mary Cedra Wood | Acupuncturist | 15715 4th Ave Sw Apt 2, Burien, WA 98166-2549 | 2020-10-20 |
| 1205443918 | Susan Lupita Parker | Acupuncturist | 6510 208th St Sw Apt E7, Lynnwood, WA 98036-8537 | 2020-09-26 |
| 1902413008 | Katrina V Uribe | Acupuncturist | 4303 Woodland Park Ave N, Seattle, WA 98103-7426 | 2020-09-23 |
| 1750992087 | Chelsea Nicole Mikula-chao | Acupuncturist | 10215 Greenwood Ave N Unit S301, Seattle, WA 98133-9338 | 2020-08-11 |
| 1811507403 | Hwanhee Schauerman | Acupuncturist | 12309 80th Ave Ne, Kirkland, WA 98034-5809 | 2020-08-07 |
| 1366050718 | Yunhan John Zheng | Acupuncturist | 1111 N 82nd St, Seattle, WA 98103-4404 | 2020-07-21 |
| 1407474646 | Yingxing Liang | Acupuncturist | 11226 Ne 15th St, Bellevue, WA 98004-3719 | 2020-07-13 |
| 1114542131 | Alissa J Hickerson | Acupuncturist | 5512 Roosevelt Way Ne, Seattle, WA 98105-3631 | 2020-06-15 |
| 1083237036 | Matthew Kester | Acupuncturist | 4849 Tillamook Dr, Richland, WA 99352-7000 | 2020-05-26 |
| 1851913495 | Ea Healing Arts LLC | Acupuncturist | 210 N University Rd, Ste 200, Spokane Valley, WA 99206 | 2020-05-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.