Kenneth Smith
HANCOCK MEDICAL CENTER


Address: 149 Drinkwater Blvd, Bay Saint Louis, MS 39521-2790
Phone: 2284678700

Kenneth Smith (NPI# 1770652851, PAC ID# 9931092756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.

Physician Overview

Nation Provider ID (NPI) 1770652851
PAC ID by PECOS 9931092756
Professional Enrollment ID I20040205000566
Full Name Kenneth Smith
Organization Legal Name HANCOCK MEDICAL CENTER
Address 149 Drinkwater Blvd
Bay Saint Louis
MS 39521-2790
Phone Number 2284678700
Gender M
Credential CNA
Graduation Year 1977
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST
Group Practice PAC ID 5092708024
Number of Group Practice Members 10
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
149 Drinkwater Blvd, Bay Saint Louis, MS 39521-2790 2284678700 HANCOCK MEDICAL CENTER
149 Drinkwater Rd, Bay Saint Louis, MS 39520-1658 2284678688 HANCOCK MEDICAL CENTER
149 Drinkwater Blvd, Bay St Louis, MS 39520-1658 2284678736 HANCOCK MEDICAL CENTER
149 Drinkwater Blvd, Bay St Louis, MS 39520 6014679081 HANCOCK MEDICAL CENTER

Organization Information

Organization Legal Name HANCOCK MEDICAL CENTER
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Myron Tassin Certified Registered Nurse Anesthetist Hancock Medical Center 149 Drinkwater Blvd, Bay St Louis, MS 39520

Office Location

Street Address 149 DRINKWATER BLVD
City BAY SAINT LOUIS
State MS
Zip 39521-2790

Physicians in the same location

Name Specialty Organization Address
Joseph R Lee General Surgery Hancock Medical Health Services Inc 149 Drinkwater Blvd, Fl 2, Bay St Louis, MS 39521-1658
Myron Tassin Certified Registered Nurse Anesthetist Hancock Medical Center 149 Drinkwater Blvd, Bay St Louis, MS 39520

Competitor

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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