DR. KEVIN C SMITH


Address: 2401 Gillham Rd, Kansas City, MO 64108-4619
Phone: 8162343674

DR. KEVIN C SMITH (NPI# 1437172475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437172475
Entity Type Individual
Full Name DR. KEVIN C SMITH
Credential PH.D.
Practice Address 2401 Gillham Rd
Kansas City
MO 64108-4619
Practice Telephone 8162343674
Mailing Telephone 8162343674
Enumeration Date 2006-07-25
Last Update Date 2011-09-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
6155 OH Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
1918 KS Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
2010036986 MO Behavioral Health & Social Service Providers

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1295397495 Kevin James Smith Social Worker 1076 E Rubicon Dr, Boise, ID 83716-5279 2019-07-08
1649831546 Kevin Smith Dentist 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 2019-06-22
1992362875 Kevin Gene Smith Social Worker 1293 Page Rd, Raleigh, NC 27603-7334 2019-05-25
1700314952 Kevin Matthew Smith Pediatrics 715 Camino Catalina, Solana Beach, CA 92075-1631 2017-06-01
1124565759 Kevin Smith Driver 530 Yates Ave, Calumet City, IL 60409-3119 2017-01-20
1487005047 Kevin Smith Massage Therapist 19615 Se 342nd St, Auburn, WA 98092-1500 2016-06-24
1679929806 Kevin Smith Durable Medical Equipment & Medical Supplies 76 Birchmount Cir, West Henrietta, NY 14586-9452 2016-05-06
1871998716 Kevin Michael Smith Physical Therapist 15 Corporate Plaza Dr Ste 130, Newport Beach, CA 92660-7940 2014-11-04
1144646993 Kevin Smith Occupational Therapist 322 Pillings Pond Rd, Lynnfield, MA 01940-1345 2014-03-17

Office Location

Street Address 2401 GILLHAM RD
City KANSAS CITY
State MO
Zip Code 64108-4619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114921533 Brent Ellis Cully Radiology 2401 Gillham Rd, Kansas City, MO 64108-4619 2005-06-13
1649878265 Noelle Elise St. Jacques Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-10-15
1376150243 Casey M Bradshaw Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-25
1457967606 Jennifer Coil Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-22
1396359923 Kelli Nicole Ayars Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-01
1407460058 Eric Bowles Health Educator 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-01
1740892504 Katlyn Kelley Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-21
1528670759 Sarah Carstensen Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-19
1619588373 Kacie E Cass Health Educator 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-14
1932719259 Maureen Elizabeth Guignon Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194345561 Diversity Telehealth, LLC Health Educator 1601 East 18th Street, 320a, Kansas City, MO 64108 2020-04-25
1447894092 Claire-louise Sophia Young Student in an Organized Health Care Education/Training Program Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 2019-11-06
1053962415 Kymberly Kline Behavior Technician Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 2019-09-26
1841854643 Mallak Ahmed Ghozlan Zatreh Student in an Organized Health Care Education/Training Program 2301 Homes Street, Kansas City, MO 64108 2019-04-26
1003470881 Sindhuja Palle Internal Medicine Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 2019-04-26
1467016253 Osama Mahmoud Okasha Internal Medicine Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 2019-04-26
1730643719 Michele D Smith Registered Nurse 2101 Charlotte Street, Urology, Kansas City, MO 64108 2019-01-24
1437640414 Omar Fayez Ahmad Abuqamar Student in an Organized Health Care Education/Training Program Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 2018-05-24
1992200190 Hannah Rebekah Hurst Student in an Organized Health Care Education/Training Program 2101 Charlotte St Ste 200, Kansas City, MO 64108 2018-03-28
1659873404 William Andrew Carroll Chiropractor 313 E. 17th St. #210, Kansas City, MO 64108 2018-03-07
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083260574 Ayanda Chakawa Psychologist 3101 Broadway Blvd Fl 10, Kansas City, MO 64111-2673 2019-08-12
1073978979 Kari Struemph Psychologist 2106 Olathe Blvd Mailstop 4004, Kansas City, KS 66160-0001 2015-12-18
1154626893 Family First Center for Autism and Child Development, Inc. Psychologist 5863 Nw 72nd St, Suite 180, Kansas City, MO 64151-1483 2011-01-11
1730411570 Rosemary Parece Psychologist 4010 Washington St Ste 401, Kansas City, MO 64111-2614 2010-02-04
1649476094 Stephen Robert Lassen Psychologist 3901 Rainbow Blvd # Ms -4004, Kansas City, KS 66160-0001 2007-06-22
1881799302 Kathryn Jo Mcconahay Psychologist 4400 Broadway St Ste 220, Kansas City, MO 64111-3342 2006-09-13
1790785525 Susan Lieberman Psychologist 8301 State Line Road, Ste 116, Kansas City, MO 64114 2005-07-22
1134738057 Scott Wagoner Psychologist 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-07-27
1801420633 Cheng Qian Psychologist 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-03-02
1598125114 Janelle Mentrikoski Psychologist 2401 Gillham Rd, Div. Developmental and Behavioral Sci., Kansas City, MO 64108-4619 2016-02-24
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Competitor

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City KANSAS CITY
Zip Code 64108

Improve Information

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Dataset Information

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.

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