Smith, Kimberly Erin
Smith, Kimberly Erin is an sole proprietor health care provider with primary practice located at 829 Chief Eddie Hoffman Highway , Bethel AK 99559. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Kimberly Erin can be contacted via phone (907) 543-6100.Contact Information
Primary practice address
829 Chief Eddie Hoffman Highway
Bethel AK 99559
Phone: (907) 543-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Alaska |
Profile Details
| NPI number | 1356788848 |
|---|---|
| LBN Legal business name | Smith, Kimberly Erin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2013 |
| Last updated | May 24th, 2013 - about 12 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 | 1356788848 | NPPES |
| Alaska | MEDICAID | MH0150 |
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