Smith, Kathryn A.

Smith, Kathryn A. is an sole proprietor health care provider with primary practice located at 1605 S 28Th Ave , Hattiesburg MS 39402-3110. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Smith, Kathryn A. can be contacted via phone (601) 579-3310.

Contact Information

Primary practice address
1605 S 28Th Ave Hattiesburg MS 39402-3110
Fax: (601) 264-0231
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A3087 Mississippi

Profile Details

NPI number 1861553224
LBN Legal business name Smith, Kathryn A.
Credentials AUDIOLOGISTS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Aug 7th, 2020 - about 5 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 1861553224 NPPES
Mississippi MEDICAID 02086206
Mississippi Other 9574868
Mississippi Other 4656554
Mississippi Other 3151998

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