Smith, Kevin Scott
Smith, Kevin Scott is an individual health care provider with primary practice located at 10628 Park Rd , Charlotte NC 28210-8407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Smith, Kevin Scott can be contacted via phone (704) 973-5500.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 9800702 | North Carolina |
Profile Details
NPI number | 1114929924 |
---|---|
LBN Legal business name | Smith, Kevin Scott |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2005 |
Last updated | Apr 17th, 2018 - about 6 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 | 1114929924 | NPPES |
North Carolina | MEDICAID | 8912229 | |
North Carolina | Other | 9800702 | |
North Carolina | Other | 21561 |
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