Smith, Kelley R

Smith, Kelley R is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Smith, Kelley R can be contacted via phone (724) 825-0600.

Contact Information

Primary practice address
100 Hospital Ave Du Bois PA 15801-1440
Phone: (724) 825-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS012962 Pennsylvania

Profile Details

NPI number 1336157676
LBN Legal business name Smith, Kelley R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 17th, 2018 - about 8 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 1336157676 NPPES
Pennsylvania Other 0000246632503 UNITED HEALTHCARE
Pennsylvania MEDICAID 1539932 UNITED HEALTHCARE
Pennsylvania Other 410311 UNITED HEALTHCARE
Pennsylvania Other I13444 UNITED HEALTHCARE
Pennsylvania Other I13444 UNITED HEALTHCARE
Pennsylvania MEDICAID 1011784180001 UNITED HEALTHCARE
Pennsylvania Other 7364643 UNITED HEALTHCARE
Pennsylvania MEDICAID 14928 UNITED HEALTHCARE
Pennsylvania Other SM1641016 UNITED HEALTHCARE
Pennsylvania Other I13444 UNITED HEALTHCARE
Pennsylvania MEDICAID 158522 UNITED HEALTHCARE
Pennsylvania Other 5235361 UNITED HEALTHCARE
Pennsylvania Other SM1641016 UNITED HEALTHCARE

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