Smith, Kylie

Smith, Kylie is an sole proprietor health care provider with primary practice located at 2880 Tricom St , North Charleston SC 29406-9171. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Kylie can be contacted via phone (843) 797-5050.

Contact Information

Primary practice address
2880 Tricom St North Charleston SC 29406-9171
Phone: (843) 797-5050
Fax: (843) 797-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 22754 South Carolina
Nursing Service Providers / Registered Nurse 163W00000X 221100 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22754 South Carolina

Profile Details

NPI number 1144636192
LBN Legal business name Smith, Kylie
Credentials MSN-FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2014
Last updated Mar 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144636192 NPPES
South Carolina MEDICAID NP5960

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