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Kelsey Anne Smith, PA-C

Physician Assistant in Kenton, OH. Individual provider (NPI-1).

NPI number1407623689
StatusActive
Last updated in NPPESMar 19, 2024

Details

NPI
1407623689
Entity type
Individual (NPI-1)
Name
Kelsey Anne Smith
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Dec 7, 2023
Certification date
Mar 19, 2024
Last updated
Mar 19, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant50.008567RXOHYes

Practice location

75 Washington Blvd Ste 103
Kenton, OH 43326-4001

Phone 419-673-8689

Mailing address

Po Box 7527
Dublin, OH 43017-0727

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Kenton, OH

All 5 Physician Assistant providers in Kenton · All 278 providers in Kenton

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