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:
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Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528198405 NPPES
Texas MEDICAID 19177340-02

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