Smith, Kerri Lynn

Smith, Kerri Lynn is an sole proprietor health care provider with primary practice located at 826 W King St Suite R, Owosso MI 48867-2120. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Smith, Kerri Lynn can be contacted via phone (989) 729-4509.

Contact Information

Primary practice address
826 W King St Suite R Owosso MI 48867-2120
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 717192 Michigan

Profile Details

NPI number 1215109152
LBN Legal business name Smith, Kerri Lynn
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2008
Last updated May 10th, 2011 - about 14 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 1215109152 NPPES
Michigan Other ON54100 MEDICARE PART B MNT

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