DR. KENNETH EDWARD SMITH (NPI# 1043600893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043600893 |
| Entity Type | Individual |
| Full Name | DR. KENNETH EDWARD SMITH |
| Other Name | DR. KENNETH EDWARD SMITH |
| Credential | D. MIN LPC |
| Practice Address |
1125 48th Avenue North Myrtle Beach SC 29577 |
| Practice Telephone | 8932821061 |
| Practice Fax Number | 8432821064 |
| Mailing Telephone | 8932821061 |
| Mailing Fax Number | 8432821064 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC24 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680061 | Kenneth Lee Smith | Licensed Practical Nurse | 4905 Frontier Rd, Garland, TX 75043-3506 | 2020-08-18 |
| 1962067439 | Kenneth George Smith | Ophthalmology | 26 Apple Valley Road, High Rolls, NM 88325 | 2019-05-09 |
| 1568933141 | Kenneth Smith | Pharmacist | 4393 Fielding Ln, Norcross, GA 30092-1647 | 2018-12-08 |
| 1639645203 | Kenneth Smith | Social Worker | 311 S Betty Ln Apt 34, Clearwater, FL 33756-5849 | 2018-10-22 |
| 1487105144 | Kenneth Smith | Counselor | 4041 N High St Ste 300n, Columbus, OH 43214-3200 | 2016-10-18 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1942661897 | Kenneth Smith | Counselor | 26 Cahoon Rd, Apt A, Buzzards Bay, MA 02532-4802 | 2016-03-18 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| 1740563634 | Kenneth Wayne Smith | Occupational Therapy Assistant | 12046 W Spring River Ct, Boise, ID 83709-5160 | 2011-09-27 |
| Street Address |
1125 48TH AVENUE NORTH |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| 1942632526 | Spencer Walker Josey | Counselor | 1304-a Azalea Cou, Myrtle Beach, SC 29577 | 2013-08-06 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956090 | Susan M. Bulsza Lpc, LLC | Counselor | Grand Strand Business Center, 1293 Professional Drive, Suite 109, Myrtle Beach, SC 29577-5754 | 2020-06-08 |
| 1841827698 | Jessica Maiorana Milosky | Counselor | 679 Inland Dr, Myrtle Beach, SC 29588-6027 | 2020-03-23 |
| 1306479506 | Beyond Therapy | Counselor | 4209 Mayfair St Ste A, Myrtle Beach, SC 29577-5899 | 2020-02-16 |
| 1538630405 | Brittany Jeanne Tilberry | Counselor | 4325 Dick Pond Rd, Myrtle Beach, SC 29588-6810 | 2018-12-17 |
| 1497237101 | Ginny Page Counseling, LLC | Counselor | 1203 48th Avenue North, Suite 202, Myrtle Beach, SC 29577-5425 | 2018-08-30 |
| 1275025900 | Angela Marie Mckeone | Counselor | 9645 Scipio Ln, Myrtle Beach, SC 29588-7568 | 2018-05-30 |
| 1073026811 | Wanda C Lucas | Counselor | 1293 Professional Dr Ste D, Myrtle Beach, SC 29577-5754 | 2017-11-15 |
| 1922520634 | Kerry J Harrah | Counselor | 2461 Hunters Trl, Myrtle Beach, SC 29588-8412 | 2017-07-13 |
| 1669838348 | Meredith Pierson Goodman | Counselor | 1033 Shine Ave, Suite D, Myrtle Beach, SC 29577-1501 | 2016-01-11 |
| 1861873820 | Phillip Harper | Counselor | 3015 Old Bryan Dr Apt 8-4, Myrtle Beach, SC 29577-5859 | 2015-06-16 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on DR. KENNETH EDWARD SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.