Smith, Kelly B.

Smith, Kelly B. is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Smith, Kelly B. can be contacted via phone (913) 632-2230.

Contact Information

Primary practice address
9100 W 74Th St Shawnee Mission KS 66204-4004
Phone: (913) 632-2230
Fax: (913) 632-2297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1482828061 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55125 Kansas

Profile Details

NPI number 1821065319
LBN Legal business name Smith, Kelly B.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Nov 24th, 2020 - about 4 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 1821065319 NPPES
Kansas Other P00032006 RR MEDICARE
Kansas Other 32813018 RR MEDICARE
Kansas MEDICAID 100457780A RR MEDICARE
Kansas MEDICAID 918965401 RR MEDICARE

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