Smith, Kathleen Rene

Smith, Kathleen Rene is an individual health care provider with primary practice located at 1000 N 8Th Ave , Pocatello ID 83201-5757. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Kathleen Rene can be contacted via phone (208) 232-6260.

Contact Information

Primary practice address
1000 N 8Th Ave Pocatello ID 83201-5757
Fax: (208) 232-6259
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X SE202993 Idaho

Profile Details

NPI number 1235689902
LBN Legal business name Smith, Kathleen Rene
Credentials SE202993
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2016
Last updated Oct 6th, 2016 - about 9 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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