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

Kenneth Roger Smith, CCSS

Individual provider Community Health Worker · NPI 1447953237

Kenneth Roger Smith, CCSS is a Community Health Worker in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2023.

Licensed in
NM
In the registry since
2023

Practice location Address checks out

2004 Valencia Dr NE
Albuquerque, NM 87110-5210
Phone: (505) 398-7843
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (NM)

Record details

NPI number1447953237
Entity typeIndividual (Type 1)
GenderMale
Credentials CCSS
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023

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