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

Mr. Kenneth Mondre Smith, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1669787032

Mr. Kenneth Mondre Smith, PHYSICIANASSISTANT is a Medical Physician Assistant in Houston, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010

Practice location Address checks out

9652 Katy Fwy
Houston, TX 77055-6322
Phone: (346) 719-6880
Fax: (713) 464-6804
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA06722 (TX)

Record details

NPI number1669787032
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 10, 2010
Last updated in NPPESDecember 10, 2024
Certification dateNovember 19, 2024

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