Mr. Kevin Etwood Smith Jr.
Mr. Kevin Etwood Smith Jr. is a Community/Behavioral Health Agency in Gilbert, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2024
- Specialties on file
- 4
Practice location Address checks out
929 N Val Vista Dr Ste 109Gilbert, AZ 85234-3701
Phone: (480) 862-3648
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1390 E Jasper Dr, Gilbert, AZ 85296-4347 — (480) 862-3648
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X (AZ) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X (AZ) |
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X (AZ) |
| Assisted Living Facility | Taxonomy 310400000X (AZ) |
Record details
| NPI number | 1790529923 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 21, 2024 |
| Last updated in NPPES | August 5, 2025 |
| Certification date | August 5, 2025 |
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