KENNETH PAUL SMITH MD NPI 1285725937

NPI Information

  • NPI: 1285725937
  • Provider Name: KENNETH PAUL SMITH, MD
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5189 HOSPITAL RD
    MARIPOSA, CA
    ZIP 95338
  • Phone: (209) 966-3631

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NPI Details

Kenneth Paul Smith, MD is an emergency medical services emergency medicine in Mariposa, CA with 39 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Kenneth Paul Smith, MD NPI is 1285725937. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1987

The provider's business location address is:

5189 HOSPITAL RD
MARIPOSA, CA
ZIP 95338-524
Phone: (209) 966-3631
Fax: (209) 966-8438

The NPI 1285725937 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 5/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical ServicesG68554CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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