Search › Arizona › 261QD1600X
Kevin Smith
NPI 1790529923 · on the registry since 2024 · sole proprietor
Practice
- Address
- 929 N Val Vista Dr Ste 109
Gilbert, AZ 85234 - Phone
- (480) 862-3648
- Organisation at this address
- Aba Grateful Care Az Llc
Konkrete Rose Youth And Family Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 1390 E Jasper Dr, Gilbert, AZ
Registry record
- Primary taxonomy
- 261QD1600X
261QD1600X
- Also registered as
- 251S00000X
261QA0600X
310400000X - Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-05
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 Arizona