Smith, Kenya
Smith, Kenya is an sole proprietor health care provider with primary practice located at 36369 Crestway Ave , Prairieville LA 70769. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Smith, Kenya can be contacted via phone (225) 588-0775.Contact Information
Primary practice address
36369 Crestway Ave
Prairieville LA 70769
Phone: (225) 588-0775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1184127698 |
|---|---|
| LBN Legal business name | Smith, Kenya |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2018 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1184127698 | NPPES |
| Louisiana | MEDICAID | 010YM0800X |
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