Smiley, Kelli Nichole

Smiley, Kelli Nichole is an individual health care provider with primary practice located at 10153 W 5Th St , Pratt KS 67124-8206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smiley, Kelli Nichole can be contacted via phone (620) 213-1588.

Contact Information

Primary practice address
10153 W 5Th St Pratt KS 67124-8206
Phone: (620) 213-1588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 75993 Kansas

Profile Details

NPI number 1346689536
LBN Legal business name Smiley, Kelli Nichole
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2013
Last updated May 25th, 2021 - about 3 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 1346689536 NPPES
Kansas MEDICAID 201088050A

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