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

Dr. Kenneth Ronald Smith, MD

Individual provider Orthopaedic Surgery Physician · NPI 1508979477

Dr. Kenneth Ronald Smith, MD is an Orthopedic Surgery in Bolivar, Missouri. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1985, 41 years ago. Practices with Citizens Memorial Healthcare, a 145-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
41
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1155 W Parkview St Ste 2D
Bolivar, MO 65613-8279
Phone: (417) 777-2663
Fax: (417) 777-2666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MDR3K38 (MO)

Record details

NPI number1508979477
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESDecember 10, 2015
Mailing address1500 N Oakland Ave, Bolivar, MO 65613-3011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1985 (41 years in practice)
Group practice Citizens Memorial Healthcare — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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