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

Kevin James Smith

Individual provider Physician Assistant · NPI 1265869648

Kevin James Smith is a Physician Assistant in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
2

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-1834
Phone: (315) 464-5240
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X · Licence 017009 (NY)

Record details

NPI number1265869648
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2013
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023
Mailing address750 E Adams St, Syracuse, NY 13210-1834

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