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DR. KEVIN B SMITH D.O.
NPI 1902140536
Surgery in Jacksonville, FL

Active since November 20, 2012
2080 CHILD STREET, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2024, Apr 27, 2021 (2 updates tracked since 2021).

About Dr. Kevin B Smith D.o. NPPES

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

DR. KEVIN B SMITH D.O. (NPI 1902140536) is an individual surgery provider in Jacksonville, Florida, licensed in Missouri (20120223206) and active in the NPI registry since November 2012. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902140536
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KEVIN B SMITHCredential: D.O.
Location Address2080 CHILD STREETJacksonville, FL 32214-5000
Mailing Address2080 Child StreetJacksonville, FL 32214-5000
Phone(904) 542-7300
Sole ProprietorYes
Enumeration DateNovember 20, 2012
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1902140536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · 20120223206
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2080 CHILD STREET, Jacksonville, FL 32214
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Secondary Practice Locations 2

Location 1200 West Mercy CircleCamp Pendleton, CA 92055 · Phone (760) 725-1356
Location 2Hospital Americano, Base Naval de Rota, Apartado de Correos 33Rota, Cadiz 11530 · Phone (314) 727-3742

Other Providers at the Same Location NPPES 14

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

DR. QUINN STEVEN BASTIAN PH.D.
Psychologist
2080 CHILD STREET, MENTAL HEALTH DEPT - BLDG 2034 / NH JAX
JACKSONVILLE, FL 32214
Duval County (904) 542-3473
REN-CHANG LIU M.D.
Radiology (Diagnostic Radiology)
2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-7744
BEVERLY B. NYSEWANDER MSN ARNP
Nurse Practitioner (Family)
2080 CHILD STREET, INTERNAL MEDICINE
JACKSONVILLE, FL 32214
Duval County (904) 542-7310
DR. ELISHA YVETTE HANSACK PHARMD
Pharmacist
2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-9412
DR. MATTHEW DAVID BARKER MD
Emergency Medicine
2080 CHILD STREET, EMERGENCY MEDICINE DEPARTMENT
JACKSONVILLE, FL 32214
Duval County (904) 542-7345
MRS. JENNIFER MARIE FAUST CRNA
Nurse Anesthetist, Certified Registered
2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-7856
DR. LYNN MORRISSEY FLOWERS DO
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 546-7113
CHRISTOPHER PHAN
Nurse Anesthetist, Certified Registered
2080 CHILD STREET, ANESTHESIA DEPT
JACKSONVILLE, FL 32214
Duval County (904) 542-7632

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 1902140536. It was assigned to this individual provider in the NPPES registry on November 20, 2012.

Where is Kevin Smith located?

Kevin Smith practices at 2080 Child Street, Jacksonville, FL 32214. The listed phone number is (904) 542-7300.

What is Kevin Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kevin Smith was last updated on June 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.