Kevin Kimberly Smith, MD

General Practice Physician · Moses Lake, WA

Individual Active NPI

NPI number 1790847952

Practice location

1550 S Pioneer Way Ste 100
Moses Lake, WA 98837-4637
Phone
(509) 765-6525

Open in Google Maps

NPI record

NPI
1790847952
Entity type
Individual (Type 1)
Enumeration date
December 14, 2006
Last updated
September 11, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X MD00023951 WA
Emergency Medicine Physician 207P00000X MD00023951 WA

About Dr. Smith

Kevin Kimberly Smith, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837-4637. The NPI number 1790847952 was assigned on December 14, 2006 and the record was last updated on September 11, 2025.

Dr. Smith lists 2 licenses in the registry: #MD00023951 (WA) for General Practice Physician; #MD00023951 (WA) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Kimberly Smith, MD?

The NPI number is 1790847952.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (509) 765-6525.

Where is Dr. Smith located?

1550 S Pioneer Way Ste 100, Moses Lake, WA 98837-4637.

What is the taxonomy code for Dr. Smith?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Physician providers in Moses Lake

All General Practice Physician providers in Moses Lake, WA →