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

Kenneth R Smith, DO

Individual provider Family Medicine Physician · NPI 1942396023

Kenneth R Smith, DO is a Family Practice in Glendale, Arizona. Graduated from Oklahoma State University College of Osteopathic Medicine in 1979, 47 years ago. Practices with Privia Medical Group Arizona, LLC, a 96-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
47
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
AZ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5601 W Eugie Ave Ste 203
Glendale, AZ 85304-1258
Phone: (602) 633-3833
Fax: (602) 633-3834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1718 (AZ)

Record details

NPI number1942396023
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address3815 E Bell Rd Ste 4500, Phoenix, AZ 85032-2171

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1979 (47 years in practice)
Group practice Privia Medical Group Arizona, Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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