Smith, Kelvin Russell

Smith, Kelvin Russell is an individual health care provider with primary practice located at 433 West Central Ave Suite B, Jamestown TN 38556-3855. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Kelvin Russell can be contacted via phone (931) 879-4066.

Contact Information

Primary practice address
433 West Central Ave Suite B Jamestown TN 38556-3855
Phone: (931) 879-4066
Fax: (931) 879-4071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1861086746
LBN Legal business name Smith, Kelvin Russell
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2021
Last updated Feb 22nd, 2021 - 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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