Smith, Kelly A

Smith, Kelly A is an sole proprietor health care provider with primary practice located at 5501 Marvin Shields Blvd , Gulfport MS 39501-9007. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Smith, Kelly A can be contacted via phone (228) 871-2810.

Contact Information

Primary practice address
5501 Marvin Shields Blvd Gulfport MS 39501-9007
Phone: (228) 871-2810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1689830788
LBN Legal business name Smith, Kelly A
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2008
Last updated Jul 29th, 2008 - about 16 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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