Smith, Katelan

Smith, Katelan is an individual health care provider with primary practice located at 5 Richland Medical Park Dr , Columbia SC 29203-6863. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Smith, Katelan can be contacted via phone (803) 434-7000.

Contact Information

Primary practice address
5 Richland Medical Park Dr Columbia SC 29203-6863
Phone: (803) 434-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 213277 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 21006 South Carolina

Profile Details

NPI number 1932650819
LBN Legal business name Smith, Katelan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2016
Last updated Feb 24th, 2022 - 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 1932650819 NPPES
South Carolina MEDICAID AN2751

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