1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KEENEN SMITH MD
NPI 1861079618
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 26, 2021
3400 SPRUCE ST, PHILADELPHIA, PA 19104(615) 517-9229 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Keenen Smith Md NPPES

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

KEENEN SMITH MD (NPI 1861079618) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1861079618
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEENEN SMITHCredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238
Phone(615) 517-9229
Sole ProprietorNo
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1861079618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3400 SPRUCE ST, Philadelphia, PA 19104
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DR. HARRY BART SMELTZ DO
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
ISSAM A MARDINI MD
Anesthesiology (Pain Medicine)
3400 SPRUCE ST, HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
Philadelphia County (610) 416-4145
BARBARA A BERNHARDT MS
Genetic Counselor, MS
3400 SPRUCE ST, 535 MALONEY BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4740
MS. JILL ELISE STOPFER MS
Genetic Counselor, MS
3400 SPRUCE ST, 2007 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8143
MS. ROSEMARY THERESA MCMENAMIN CRNP
Nurse Practitioner (Adult Health)
3400 SPRUCE ST, GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6963
MS. LYNN GODMILOW MSW
Genetic Counselor, MS
3400 SPRUCE ST, ROOM 538 MALONEY BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4740
DR. JAMES DAVID KOLKER MD
Radiology (Radiation Oncology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
DR. RUTH HERMAN STEINMAN M.D.
Psychiatry & Neurology (Psychiatry)
3400 SPRUCE ST, 2016 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-0534

Frequently Asked Questions

What is Keenen Smith's NPI number?

The NPI number assigned to this healthcare provider is 1861079618, enumerated as an "individual" on March 26, 2021.

Where is the provider located?

The provider is located at 3400 SPRUCE ST PHILADELPHIA, PA 19104 and the phone number is (615) 517-9229.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.