Mounger, Kristy Smith
Mounger, Kristy Smith is an individual health care provider with primary practice located at 116 Hospital Sq , Bishopville SC 29010-7081. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mounger, Kristy Smith can be contacted via phone (803) 484-9424.Contact Information
Primary practice address
116 Hospital Sq
Bishopville SC 29010-7081
Phone: (803) 484-9424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 22838 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 22838 | South Carolina |
Profile Details
| NPI number | 1013578061 |
|---|---|
| LBN Legal business name | Mounger, Kristy Smith |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2019 |
| Last updated | Jan 26th, 2021 - about 5 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 | 1013578061 | NPPES |
| South Carolina | MEDICAID | NP6526 |
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