Sanders- Smith, Kerrie

Sanders- Smith, Kerrie is an individual health care provider with primary practice located at 4077 Pemberton Square Blvd , Vicksburg MS 39180-5580. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sanders- Smith, Kerrie can be contacted via phone (601) 638-8600.

Contact Information

Primary practice address
4077 Pemberton Square Blvd Vicksburg MS 39180-5580
Phone: (601) 638-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 875209 Mississippi

Profile Details

NPI number 1144695669
LBN Legal business name Sanders- Smith, Kerrie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2015
Last updated Nov 3rd, 2017 - 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.

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