Kenneth Eugene Smith, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

23146 Issued in SC

Practice address

4 Indigo Run Dr
Villa #823
Hilton Head Island, SC 29926-4150

Phone

(843) 681-4160

Fax

(843) 681-4160

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ultra Diagnostics Incorporated

  • Sonography Radiologic Technologist
  • Hingham, MA
  • NPI 1588747356
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205872389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 INDIGO RUN DR",
            "address_2": "VILLA #823",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264150",
            "telephone_number": "843-681-4160",
            "fax_number": "843-681-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 INDIGO RUN DR",
            "address_2": "VILLA #823",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264150",
            "telephone_number": "843-681-4160",
            "fax_number": "843-681-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENNETH",
        "middle_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "23146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Hayes Shepps, PHARMD
• Cheryl R Shookman, PHD
• Victoria Rose Sinke, DPT
• Candice Kirsten Sizer
• Joy Smith
• Sharon K Smith, LMFT
• Patrick J Snowman, MD
• Renee Marie Soban, PHARM.D.
• Michael L Sobel, DO
• Areadne Soler, M.D.

• Gynecology Physician in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.