Smentek, Mary Kathryn
Smentek, Mary Kathryn is an individual health care provider with primary practice located at 1230 E Main St Mankato Clinic, Mankato MN 56002-8674. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smentek, Mary Kathryn can be contacted via phone (507) 625-1811.Contact Information
Primary practice address
1230 E Main St Mankato Clinic
Mankato MN 56002-8674
Phone: (507) 625-1811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 49051 | Minnesota |
Profile Details
| NPI number | 1801878509 |
|---|---|
| LBN Legal business name | Smentek, Mary Kathryn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jul 15th, 2020 - about 4 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 | 1801878509 | NPPES |
| Connecticut | MEDICAID | 001432575 | |
| Connecticut | Other | 135991 | |
| Connecticut | Other | 295C2SM | |
| Connecticut | MEDICAID | 0763177 | |
| Connecticut | MEDICAID | 277140100 | |
| Connecticut | Other | NA2951049098 | |
| Connecticut | Other | 12 03867 | |
| Connecticut | Other | 284 | |
| Connecticut | Other | HP75350 |
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