Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669342986 Individual Practitioner Male Practitioner

Kennth Allen Smith

Peer Specialist • Poplar Bluff, MO

Professional Overview & Biography Verified Profile Summary

Kennth Smith is a registered healthcare professional specializing in Peer Specialist in Poplar Bluff, MO. Practice services are available at 686 LESTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

686 Lester St

Poplar Bluff, MO 639015025

Telephone 5736861200
Associated Practice Facility / Clinic
🏢 Kneibert Clinic Llc Facility NPI 1811975436

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Poplar Bluff, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
33 Specialists

Practicing in Poplar Bluff, MO (188 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-11
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Allyson Fitzwater

Community Health Worker

NPI 1003231374
Erica Raymer

Case Manager/Care Coordinator

NPI 1003378233
Aubrey Wade

Behavior Technician

NPI 1003529066
Sally Thurman

Community Health Worker

NPI 1003533035
Lorie Kolwyck

Behavior Technician

NPI 1003706359
Ashley Matlock

Case Manager/Care Coordinator

NPI 1003785320

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 11, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2025

Registered at 686 LESTER ST, POPLAR BLUFF, MO 639015025 (Tel: 5736861200)

📍
Updated Business Mailing Address November 11, 2025

Registered at 686 LESTER ST, POPLAR BLUFF, MO 639015025 (Tel: 5736861200)

👤
Provider Name / Credentials Updated November 11, 2025

Recorded as KENNTH SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration November 11, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669342986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2025
Last Update: November 11, 2025
Sole Proprietor: No

Mailing Address

686 Lester St

Poplar Bluff, MO 639015025

Phone: 5736861200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.