Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790847952 Individual Practitioner Male Practitioner

Dr. Kevin Kimberly Smith , MD

General Practice • Moses Lake, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Smith, MD is a registered healthcare professional specializing in General Practice in Moses Lake, WA. Practice services are available at 1550 S PIONEER WAY STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1550 S Pioneer Way Ste 100

Moses Lake, WA 988374637

Telephone 5097656525

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Moses Lake, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Moses Lake, WA (423 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WA MD00023951

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License WA MD00023951

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Garrett Wistisen , FNP

Nurse Practitioner - Family

NPI 1124824370

Family Nurse Practitioner

Danika Burton

Physician Assistant

NPI 1235753880
Rich Stowe , PA

Physician Assistant

NPI 1568711398

Physician Assistant

Robert Mikiska , PA-C

Physician Assistant

NPI 1659383842

Physician Assistant (Certified)

Brett Hymas

Physician Assistant

NPI 1801297932
Paula Moreno , PA

Physician Assistant

NPI 1881642197

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1550 S PIONEER WAY STE 100, MOSES LAKE, WA 988374637 (Tel: 5097656525)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1550 S PIONEER WAY STE 100, MOSES LAKE, WA 988374637 (Tel: 5097656525)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEVIN SMITH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #MD00023951 in WA)

🟢
Initial NPI Registration & Enumeration December 14, 2006

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: 1790847952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

1550 S Pioneer Way Ste 100

Moses Lake, WA 988374637

Phone: 5097656525

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.