Kelley, Elizabeth Anne Smith
Kelley, Elizabeth Anne Smith is an individual health care provider with primary practice located at 2214 Gateway Dr #C, Opelika AL 36801-1500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelley, Elizabeth Anne Smith can be contacted via phone (334) 741-0075.Contact Information
Primary practice address
2214 Gateway Dr #C
Opelika AL 36801-1500
Phone: (334) 741-0075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-131673 | Alabama |
Profile Details
| NPI number | 1700261591 |
|---|---|
| LBN Legal business name | Kelley, Elizabeth Anne Smith |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2015 |
| Last updated | Aug 2nd, 2016 - about 8 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700261591 | NPPES |
| Alabama | MEDICAID | 185931 |
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