Smith, Kelly Amanda
Smith, Kelly Amanda is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Smith, Kelly Amanda can be contacted via phone (215) 590-1000.Contact Information
Primary practice address
3401 Civic Center Blvd
Philadelphia PA 19104-4319
Phone: (215) 590-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care | 363LP0222X | SP017721 | Pennsylvania |
Profile Details
| NPI number | 1639694276 |
|---|---|
| LBN Legal business name | Smith, Kelly Amanda |
| Credentials | MSN, RN, CPNP-PC/AC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2017 |
| Last updated | Aug 4th, 2017 - 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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