Smith, Kellie K

Smith, Kellie K is an individual health care provider with primary practice located at 9050 Montgomery Road Suite B, Cincinnati OH 45242-7740. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Smith, Kellie K can be contacted via phone (513) 631-6963.

Contact Information

Primary practice address
9050 Montgomery Road Suite B Cincinnati OH 45242-7740
Phone: (513) 631-6963
Fax: (513) 631-1970
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35065777 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35065777 Ohio

Profile Details

NPI number 1982668612
LBN Legal business name Smith, Kellie K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jun 30th, 2015 - about 9 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 1982668612 NPPES
Ohio MEDICAID 0996052
Ohio Other P00790119

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