Search › Washington › 101YM0800X
Kenneth Smith, Jr., M.DIV., M.A
NPI 1710054028 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2012 Ne 65th St
Seattle, WA 98115 - Phone
- (206) 523-3202
- Fax
- (206) 367-0919
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington