Smith, Kaitlin
Smith, Kaitlin is an individual health care provider with primary practice located at 575 Coal Valley Rd Ste 570 , Jefferson Hills PA 15025-3729. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smith, Kaitlin can be contacted via phone (412) 469-7660.Contact Information
Primary practice address
575 Coal Valley Rd Ste 570
Jefferson Hills PA 15025-3729
Phone: (412) 469-7660
Fax: (412) 469-7547
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP020243 | Pennsylvania |
Profile Details
NPI number | 1477025070 |
---|---|
LBN Legal business name | Smith, Kaitlin |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2018 |
Last updated | Jun 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477025070 | NPPES |
Other | 14589600 | CAQH | |
MEDICAID | 103746336 | CAQH |
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