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Kindra Renee Smith

Family Medicine

Allopathic & Osteopathic Physicians

1000 White Horse Rd Ste 202, Voorhees, NJ 08043-4408

PECOS Enrollment

This provider is enrolled in PECOS as KINDRA SMITH.

Based on the most recent information from CMS, provider Kindra Renee Smith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1083634406
Provider Type
Individual
Full Name
Smith, Kindra Renee
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/20/2006
Last Updated
2/25/2020

Contact Information

Practice Location

1000 White Horse Rd Ste 202, Voorhees, NJ 08043-4408

(856) 644-6428

(856) 344-9096

Mailing Location

210 Yorktown Plz, Elkins Park, PA 19027-1424

(215) 600-4590

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License D0061546 Maryland

Provider Identifiers

ID	Description	Issuer
ID 406123300	Description Medicaid	Issuer Unlisted Maryland
ID 132190100	Description Medicaid	Issuer Unlisted Maryland

Kindra Renee Smith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Kennedy Medical Group Practice, P.C. D/B/A Kennedy Health Alliance

Costa, Ralph Floyd

Voorhees Family Practice Associates, P.C.

Cavallaro Family Practice

Winfield Family Practice

Post, Robert Edward

Lu, Lawrence

Kessler, Martin Jay

Soble, Toby K

Style Family Medicine Assoc Pa