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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730199985 | NPPES |
| Ohio | MEDICAID | 0764801 | |
| Ohio | Other | 0120017 | |
| Ohio | Other | 000000016049 |
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