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KEVIN KIMBERLY SMITH MD
NPI 1790847952
General Practice in Moses Lake, WA

Active since December 14, 2006
1550 S PIONEER WAY STE 100, MOSES LAKE, WA 98837(509) 765-6525 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Kimberly Smith Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN KIMBERLY SMITH MD (NPI 1790847952) is an individual general practice provider in Moses Lake, Washington, licensed in Washington (MD00023951) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1790847952
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKEVIN KIMBERLY SMITHCredential: MD
Location Address1550 S PIONEER WAY STE 100Moses Lake, WA 98837-4637
Mailing Address1550 S Pioneer Way Ste 100Moses Lake, WA 98837-4637 · (509) 765-6525
Phone(509) 765-6525
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1790847952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · MD00023951
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD00023951 (WA)

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRETT HYMAS
Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Grant County (509) 793-9790
ROBERT W MIKISKA PA-C
Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Grant County (509) 793-9790
PAULA RENEE MORENO P.A.
Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Grant County (509) 793-9790
DIANE P SAVARESE PA-C
Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Grant County (509) 793-9790
MR. RICH R STOWE PA
Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Grant County (509) 793-9790
MR. GARRETT CLAY WISTISEN FNP
Nurse Practitioner (Family)
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Grant County (509) 793-9770
DANIKA MARIE BURTON
Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Grant County (509) 793-9790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Smith's NPI number?

The NPI number for Kevin Smith is 1790847952. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Kevin Smith located?

Kevin Smith practices at 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837. The listed phone number is (509) 765-6525.

What is Kevin Smith's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kevin Smith was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.