Smith, Kelly J
Smith, Kelly J is an individual health care provider with primary practice located at 333 N Santa Rosa , San Antonio TX 78207-3108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Smith, Kelly J can be contacted via phone (210) 704-3030.Contact Information
Primary practice address
333 N Santa Rosa
San Antonio TX 78207-3108
Phone: (210) 704-3030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2080S0012X | M3394 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | M3394 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | M3394 | Texas |
Profile Details
| NPI number | 1528198405 |
|---|---|
| LBN Legal business name | Smith, Kelly J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Feb 16th, 2024 - about 7 months 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 | 1528198405 | NPPES |
| Texas | MEDICAID | 19177340-02 |
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