Smith, Kelly J

Smith, Kelly J is an individual health care provider with primary practice located at 200 N Park St West Michigan Cancer Center, Kalamazoo MI 49007-3731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Kelly J can be contacted via phone (269) 382-2500.

Contact Information

Primary practice address
200 N Park St West Michigan Cancer Center Kalamazoo MI 49007-3731
Phone: (269) 382-2500
Fax: (269) 373-7478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704152480 Michigan

Profile Details

NPI number 1528035078
LBN Legal business name Smith, Kelly J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Nov 17th, 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 1528035078 NPPES
Michigan MEDICAID 4631966

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