Dr. Kenneth Ronald Smith, MD
Orthopaedic Surgery in Bolivar, MO. Individual provider (NPI-1).
NPI number1508979477
StatusActive
Last updated in NPPESDec 10, 2015
Details
- NPI
- 1508979477
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Ronald Smith
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2006
- Last updated
- Dec 10, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORTHOPEDIC SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MDR3K38 | MO | Yes |
Practice location
1155 W Parkview StSuite 2d
Bolivar, MO 65613-8279
Phone 417-777-2663 · Fax 417-777-2666
Mailing address
1500 N Oakland AveBolivar, MO 65613-3011
Phone 417-326-6000 · Fax 417-328-6338
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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 Orthopaedic Surgery Physician providers in Bolivar, MO
- Jonathan Eugene Gray, D.ONPI 1578798054
- Troy Morrison, D.O.NPI 1073829925
- Parkview Orthopaedic ClinicNPI 1083828743
- David B Rogers, M.D.NPI 1790766558
All 5 Orthopaedic Surgery Physician providers in Bolivar · All 534 providers in Bolivar
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