Smidebush, Kelly

Smidebush, Kelly is an individual health care provider with primary practice located at 129 E Redstone Ave Suite A, Crestview FL 32539-5350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smidebush, Kelly can be contacted via phone (850) 682-7212.

Contact Information

Primary practice address
129 E Redstone Ave Suite A Crestview FL 32539-5350
Phone: (850) 682-7212
Fax: (850) 682-6302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9279024 Florida

Profile Details

NPI number 1104176833
LBN Legal business name Smidebush, Kelly
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2012
Last updated Oct 5th, 2012 - about 12 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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