Smith, Kelly
Smith, Kelly is an individual health care provider with primary practice located at 1525 W Cypress Creek Rd , Fort Lauderdale FL 33309-1831. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Smith, Kelly can be contacted via phone (954) 939-5577.Contact Information
Primary practice address
1525 W Cypress Creek Rd
Fort Lauderdale FL 33309-1831
Phone: (954) 939-5577
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301087897 | Michigan |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME106626 | Florida |
Profile Details
| NPI number | 1831210715 |
|---|---|
| LBN Legal business name | Smith, Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jul 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831210715 | NPPES |
| Florida | MEDICAID | 002470500 |
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