Smith, Keiloni Marie

Smith, Keiloni Marie is an individual health care provider with primary practice located at 901 E Alosta Ave , Azusa CA 91702-2701. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Smith, Keiloni Marie can be contacted via phone (626) 969-3434.

Contact Information

Primary practice address
901 E Alosta Ave Azusa CA 91702-2701
Phone: (626) 969-3434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Y4201286 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Y4201286 California

Profile Details

NPI number 1114541554
LBN Legal business name Smith, Keiloni Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2020
Last updated Jun 2nd, 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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