Smith, Kathleen J
Smith, Kathleen J is an individual health care provider with primary practice located at 3319 Colorado Blvd , Denton TX 76210-6817. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Smith, Kathleen J can be contacted via phone (940) 383-1279.Contact Information
Primary practice address
3319 Colorado Blvd
Denton TX 76210-6817
Phone: (940) 383-1279
Fax: (940) 387-0489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP119931 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A03000 ANP | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP119931 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30006856 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 550735 | Texas |
Profile Details
| NPI number | 1235135591 |
|---|---|
| LBN Legal business name | Smith, Kathleen J |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Oct 28th, 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 | 1235135591 | NPPES |
| Arkansas | MEDICAID | 165788741 | |
| Arkansas | MEDICAID | 9643750 | |
| Arkansas | MEDICAID | 200114220A |
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