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

Kevin Smith, PA

Individual provider Physician Assistant · NPI 1396716460

Kevin Smith, PA is a Physician Assistant in Michigan City, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1225 E Coolspring Ave
Michigan City, IN 46360-6312
Phone: (219) 861-8161
Fax: (219) 873-9504
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000208A (IN)

Record details

NPI number1396716460
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

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