Mr. Kenneth Smith is a Laurel, Mississippi based nurse anesthetist with 23 years of experience as Anesthesia Administration. He completed he graduation in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Kenneth Smith is R802471 for Anesthesia Administration in Mississippi. his current practice location is 1220 Jefferson St, Laurel. Patients can reach him at 601-426-4507 or can fax him at 601-426-4228. Mr. Kenneth Smith is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1740220839. Mr. Kenneth Smith is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Kenneth Smith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
23+ years
Medical School Attended:
Other
Graduation Year:
2002
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1220 Jefferson St, Laurel, Mississippi, 39440-4355
Phone:
601-426-4507
Fax:
601-426-4228
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2769679828
Enrollment ID:
I20101215000440
NPI Number:
1740220839
NPI Enumeration Date:
07 Jun, 2006
NPI Last Update On:
31 Dec, 2019
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kenneth Smith are as mentioned below.
License Number
Specialization
State
Status
R802471
Anesthesia Administration
Mississippi
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
South Central Reg Med Ctr (250058)
Laurel, MS
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Kenneth Smith has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
South Central Clinics, Inc (4385876655)
111
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Kenneth Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00126198
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 607, Laurel, Mississippi
Zip:
39441-0607
Phone Number:
601-426-4507
Fax Number:
401-426-4228
Patients can reach Mr. Kenneth Smith at 1220 Jefferson St, Laurel, Mississippi or can call to book an appointment on 601-426-4507.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.