Mckinney Smith, Lisa A
Mckinney Smith, Lisa A is an individual health care provider with primary practice located at 105 W Stone Dr Ste 1J , Kingsport TN 37660-3365. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Mckinney Smith, Lisa A can be contacted via phone (423) 378-7654.Contact Information
Primary practice address
105 W Stone Dr Ste 1J
Kingsport TN 37660-3365
Phone: (423) 378-7654
Fax: (423) 578-8025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | DO1464 | Tennessee |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0102201581 | Virginia |
Profile Details
| NPI number | 1528051299 |
|---|---|
| LBN Legal business name | Mckinney Smith, Lisa A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Dec 17th, 2021 - about 3 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 | 1528051299 | NPPES |
| Virginia | Other | 005651B56 | TRAILBLAZERS MEDICARE |
| Virginia | MEDICAID | 3300707 | TRAILBLAZERS MEDICARE |
| Virginia | Other | P00149425 | TRAILBLAZERS MEDICARE |
| Virginia | Other | P00149425 | TRAILBLAZERS MEDICARE |
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