Smith, Keegan M

Smith, Keegan M is an individual health care provider with primary practice located at 222 22Nd Ave N , Nashville TN 37203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Smith, Keegan M can be contacted via phone (629) 255-2145.

Contact Information

Primary practice address
222 22Nd Ave N Nashville TN 37203
Fax: (629) 255-4030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MD39423 Tennessee

Profile Details

NPI number 1134276009
LBN Legal business name Smith, Keegan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jun 28th, 2018 - about 7 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 1134276009 NPPES
Tennessee MEDICAID 3001327

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