Smith, Kenneth E
Smith, Kenneth E is an sole proprietor health care provider with primary practice located at 3551 Belmont Ave Ste 19B , Youngstown OH 44505-1439. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Smith, Kenneth E can be contacted via phone (330) 222-4030.Contact Information
Primary practice address
3551 Belmont Ave Ste 19B
Youngstown OH 44505-1439
Phone: (330) 222-4030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN.CNP.05173 | Ohio |
Profile Details
| NPI number | 1942203765 |
|---|---|
| LBN Legal business name | Smith, Kenneth E |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Oct 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942203765 | NPPES |
| Ohio | MEDICAID | 2372614 |
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