Smith, Kathleen
Smith, Kathleen is an individual health care provider with primary practice located at 1011 14Th Ave Nw Er Dept, Ardmore OK 73401-1828. 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. Smith, Kathleen can be contacted via phone (800) 749-4560.Contact Information
Primary practice address
1011 14Th Ave Nw Er Dept
Ardmore OK 73401-1828
Phone: (800) 749-4560
Fax: (405) 749-4557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R59329 | Oklahoma |
Profile Details
| NPI number | 1386626950 |
|---|---|
| LBN Legal business name | Smith, Kathleen |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1386626950 | NPPES |
| Oklahoma | MEDICAID | 100150540A |
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