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

Mr. Kellon Sean Smith, CRNA

Individual provider Medical-Surgical Registered Nurse · NPI 1588902340

Mr. Kellon Sean Smith, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Cumberland, Maryland. Qualified in 2012, 14 years ago. Practices with Potomac Valley Hospital of W VA , Inc, a 89-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
14
Licensed in
MD
In the registry since
2013
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone: (240) 964-3600
Show map & directions

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

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence R203959 (MD)

Record details

NPI number1588902340
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 29, 2013
Last updated in NPPESJanuary 29, 2013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Potomac Valley Hospital Of W Va , Inc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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