Blackwell, Kellie Miranda Smith
Blackwell, Kellie Miranda Smith is an sole proprietor health care provider with primary practice located at 117 Cook St , Abingdon VA 24210-3203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blackwell, Kellie Miranda Smith can be contacted via phone (276) 619-5052.Contact Information
Primary practice address
117 Cook St
Abingdon VA 24210-3203
Phone: (276) 619-5052
Fax: (276) 619-5115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5527 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0102203141 | Virginia |
Profile Details
| NPI number | 1104053891 |
|---|---|
| LBN Legal business name | Blackwell, Kellie Miranda Smith |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2009 |
| Last updated | Jan 11th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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