MEDICARE: KEVIN RAY SMITH RN

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	367500000X	Certified Registered Nurse Anesthetist	40829	TN
2	367500000X	Certified Registered Nurse Anesthetist	RN9521483	FL

General Provider Information

NPI Number	:	1740140854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN RAY SMITH RN

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	837 EAGLE POINT DR
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32092-1069
Country	:	US
Telephone Number	:	904-866-9449
Fax Number	:

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

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	04/24/2026

Similar Medicare Providers

1407822612 — DR. LAURIE JEAN RUDNICK M.D.
Practice Location Address:

19901 E 10 MILE RD
SAINT CLAIR SHORES, MI
48080-1069

Practice Phone: 586-777-1277
Practice Fax: 586-777-0106

1407823339 — PAUL XAVIER BURGOYNE MD
Practice Location Address:

19901 E 10 MILE RD
SAINT CLAIR SHORES, MI
48080-1069

Practice Phone: 586-777-1277
Practice Fax: 586-777-0106

1386716520 — ST. JOHN HOSPITAL AND MEDICAL CENTER
Practice Location Address:

19901 E 10 MILE RD
SAINT CLAIR SHORES, MI
48080-1069

Practice Phone: 586-777-1277
Practice Fax: 586-777-0106

1700053634 — BARRY A. MENTZEL, D.D.S., P.C.
Practice Location Address:

19925 E 10 MILE RD
SAINT CLAIR SHORES, MI
48080-1069

Practice Phone: 586-772-1880
Practice Fax: 586-772-5837

1679881510 — ST. JOHN HOSPITAL AND MEDICAL CENTER
Practice Location Address:

19901 E 10 MILE RD
SAINT CLAIR SHORES, MI
48080-1069

Practice Phone: 586-777-1277
Practice Fax: 586-777-0106

1629517370 — ANDREA LOPEZ-TORRES SILVA DMD
Practice Location Address:

19925 E 10 MILE RD
SAINT CLAIR SHORES, MI
48080-1069

Practice Phone: 867-721-8805
Practice Fax:

Directions to “ KEVIN RAY SMITH RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.