Smith, Kristie Opal

Smith, Kristie Opal is an individual health care provider with primary practice located at 1084 N Cole Rd , Boise ID 83704-8642. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Smith, Kristie Opal can be contacted via phone (208) 377-0019.

Contact Information

Primary practice address
1084 N Cole Rd Boise ID 83704-8642
Phone: (208) 377-0019
Fax: (208) 377-0313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD-2307 Idaho
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AUD-2307 Idaho
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X AUD-2307 Idaho

Profile Details

NPI number 1740533389
LBN Legal business name Smith, Kristie Opal
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2012
Last updated Oct 19th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740533389 NPPES
Idaho Other AUD-2307 BOOL

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