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

Justin Smith, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1699141903

Justin Smith, CRNA is a Certified Registered Nurse Anesthetist in Kennett, Missouri. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2015
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1301 1st St
Kennett, MO 63857-2525
Phone: (573) 686-5550
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2015023426 (AR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence R077620 (AR)

Record details

NPI number1699141903
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 20, 2015
Last updated in NPPESAugust 20, 2015
Mailing address209 S Main St, Poplar Bluff, MO 63901-5831

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