Smith, Krystal S
Smith, Krystal S is an individual health care provider with primary practice located at 3555 Kraft Rd Ste 350 , Naples FL 34105-5037. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Smith, Krystal S can be contacted via phone (239) 238-1210.Contact Information
Primary practice address
3555 Kraft Rd Ste 350
Naples FL 34105-5037
Phone: (239) 238-1210
Fax: (239) 238-1212
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | T-2246 | Mississippi |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MDDO1578 | Alabama |
Profile Details
NPI number | 1447489638 |
---|---|
LBN Legal business name | Smith, Krystal S |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2009 |
Last updated | Mar 8th, 2021 - about 3 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 | 1447489638 | NPPES |
Mississippi | Other | P01590545 | RAILROAD MEDICARE |
Mississippi | MEDICAID | 05409055 | RAILROAD MEDICARE |
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