| Mrs Kendra Lyn Smith, CRNA | |
|
441 N Wabash Ave, Marion, IN 46952-2612 | |
| (765) 660-6000 | |
| Not Available |
| Full Name | Mrs Kendra Lyn Smith |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 441 N Wabash Ave, Marion, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952873648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 28247859A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020319 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lima Memorial Health System | Lima, OH | Hospital |
| Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
| Grand Lake Health System | Saint marys, OH | Hospital |
| Mercer County Joint Township Community Hospital | Coldwater, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lima Memorial Professional Corporation | 1254232184 | 168 |
| Australia Anesthesia Management Llc | 9436671864 | 57 |
| Joint Township District Memorial Hospital | 3870491590 | 40 |
| Aas Indiana Llc | 4688045115 | 42 |
| Anesthesia Associates Of Lima Inc | 4486553013 | 52 |
| Southwest Ohio Anesthesia Consultants Llc | 6901700640 | 374 |
| Mercer County Joint Township Community Hospital | 8820081755 | 61 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Entity Name | Joint Township District Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639133002 PECOS PAC ID: 3870491590 Enrollment ID: O20031219000416 |
| Entity Name | Anesthesia Associates Of Lima Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487662300 PECOS PAC ID: 4486553013 Enrollment ID: O20040102000630 |
| Entity Name | Lima Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
| Entity Name | Mercer County Joint Township Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kendra Lyn Smith, CRNA 16145 Caldera Ln, Naples, FL 34110-2831 Ph: (208) 681-8157 | Mrs Kendra Lyn Smith, CRNA 441 N Wabash Ave, Marion, IN 46952-2612 Ph: (765) 660-6000 |