Smith, Kirk Ellis

Smith, Kirk Ellis is an sole proprietor health care provider with primary practice located at 5005 Kilkerry Dr , Middletown OH 45042-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Kirk Ellis can be contacted via phone (937) 641-0447.

Contact Information

Primary practice address
5005 Kilkerry Dr Middletown OH 45042-3004
Phone: (937) 641-0447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34004607 Ohio

Profile Details

NPI number 1730199985
LBN Legal business name Smith, Kirk Ellis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Sep 5th, 2023 - about last year

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 1730199985 NPPES
Ohio MEDICAID 0764801
Ohio Other 0120017
Ohio Other 000000016049

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