Smith, Kelsey H

Smith, Kelsey H is an individual health care provider with primary practice located at 880 W Central Rd Dept Of , Arlington Heights IL 60005-2355. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Smith, Kelsey H can be contacted via phone (847) 570-1440.

Contact Information

Primary practice address
880 W Central Rd Dept Of Arlington Heights IL 60005-2355
Phone: (847) 570-1440
Fax: (847) 570-1442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3881 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3881-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085008913 Illinois

Profile Details

NPI number 1568916583
LBN Legal business name Smith, Kelsey H
Credentials P
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2016
Last updated May 23rd, 2022 - about 2 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 1568916583 NPPES
Wisconsin MEDICAID 100060159

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