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
Fax: (239) 238-1212
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447489638 NPPES
Mississippi Other P01590545 RAILROAD MEDICARE
Mississippi MEDICAID 05409055 RAILROAD MEDICARE

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