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

Individual provider Certified Registered Nurse Anesthetist · NPI 1740220839

Mr. Kenneth Smith, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Laurel, Mississippi. Qualified in 2002, 24 years ago. Practices with South Central Clinics, Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
24
Licensed in
MS
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1220 Jefferson St
Laurel, MS 39440-4355
Phone: (601) 426-4507
Fax: (601) 426-4228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R802471 (MS)

Record details

NPI number1740220839
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing addressPo Box 607, Laurel, MS 39441-0607

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice South Central Clinics, Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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