Smith, Kristie D.
Smith, Kristie D. is an sole proprietor health care provider with primary practice located at 544 Brawley School Rd Ste A, Mooresville NC 28117-9393. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Kristie D. can be contacted via phone (606) 573-4440.Contact Information
Primary practice address
544 Brawley School Rd Ste A
Mooresville NC 28117-9393
Phone: (606) 573-4440
Fax: (606) 573-4441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3004931 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5011421 | North Carolina |
Profile Details
| NPI number | 1407860182 |
|---|---|
| LBN Legal business name | Smith, Kristie D. |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Mar 4th, 2020 - about 4 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 | 1407860182 | NPPES |
| Kentucky | MEDICAID | 78017019 |
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