MEDICARE: KEVIN M SMITH D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC8622	PA

General Provider Information

NPI Number	:	1215941356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN M SMITH D.C.

Provider Business Mailing Address
First Line	:	1699 WASHINGTON RD STE 401
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1660
Country	:	US
Telephone Number	:	412-428-0008
Fax Number	:	724-871-1588

Provider Business Practice Location Address
First Line	:	1699 WASHINGTON RD STE 401
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1629
Country	:	US
Telephone Number	:	412-595-7332
Fax Number	:	724-871-1588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	03/16/2026

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