Smith, Keirsten E

Smith, Keirsten E is an individual health care provider with primary practice located at 145 4Th Ave Ne Family Practice/ Sports Medicine, Gladstone MI 49837. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Smith, Keirsten E can be contacted via phone (906) 428-3273.

Contact Information

Primary practice address
145 4Th Ave Ne Family Practice/ Sports Medicine Gladstone MI 49837
Phone: (906) 428-3273
Fax: (906) 428-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD36202 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L4014R Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301116666 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 430111666 Michigan

Profile Details

NPI number 1679985311
LBN Legal business name Smith, Keirsten E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2014
Last updated Feb 4th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679985311 NPPES
Michigan MEDICAID 1679985311

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