Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth R Smith D. O. PC

Organization Adult Medicine Physician · NPI 1407992381

Kenneth R Smith D. O. PC is an Adult Medicine Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6040 N 43rd Ave Ste 1
Glendale, AZ 85301-5488
Phone: (623) 931-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 1718 (AZ)

Record details

NPI number1407992381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Smith — President · (623) 931-2221
NPI enumeratedJanuary 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6040 N 43rd Ave, Suite 1, Glendale, AZ 85301-5488

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