Smith, Kaitlyn

Smith, Kaitlyn is an sole proprietor health care provider with primary practice located at 343 Salem Gate Dr Se Ste 100 , Conyers GA 30013-1783. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Smith, Kaitlyn can be contacted via phone (770) 285-3533.

Contact Information

Primary practice address
343 Salem Gate Dr Se Ste 100 Conyers GA 30013-1783
Phone: (770) 285-3533
Fax: (770) 502-6052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 9190 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9190 Georgia

Profile Details

NPI number 1245798032
LBN Legal business name Smith, Kaitlyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2019
Last updated Jul 28th, 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.

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