NPI 1003519372

Keenan Smith, PMHNPBC

Practitioner Psychiatric/Mental Health Nurse Practitioner Bellevue, WA

Practice location

Address: 2105 112th Ave NE STE 201, Bellevue, WA 98004-2945
Phone: (425) 968-5948
Mailing address: PO Box 1097, Birmingham, MI 48012-1097

Registered specialties (3)

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence AP61423786 (WA)

Other Nurse Practitioner providers in Washington →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 53-82167-102 (KS)

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 4704370314 (MI)

Registry record

NPI: 1003519372
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2023
Record last updated: 13 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.