Smethurst, Kristen Elise

Smethurst, Kristen Elise is an individual health care provider with primary practice located at 785 Primera Blvd Suite 1031, Lake Mary FL 32746-2124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smethurst, Kristen Elise can be contacted via phone (407) 834-8111.

Contact Information

Primary practice address
785 Primera Blvd Suite 1031 Lake Mary FL 32746-2124
Phone: (407) 834-8111
Fax: (407) 708-1958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102412 Florida

Profile Details

NPI number 1730140393
LBN Legal business name Smethurst, Kristen Elise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Feb 18th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730140393 NPPES
Florida MEDICAID 292058100

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