Smith, Kyra Diane
Smith, Kyra Diane is an individual health care provider with primary practice located at 605 E San Antonio St Suite 508E, Victoria TX 77901-6050. 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, Kyra Diane can be contacted via phone (361) 575-8585.Contact Information
Primary practice address
605 E San Antonio St Suite 508E
Victoria TX 77901-6050
Phone: (361) 575-8585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 700750 | Texas |
Profile Details
| NPI number | 1043598535 |
|---|---|
| LBN Legal business name | Smith, Kyra Diane |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2011 |
| Last updated | Aug 27th, 2020 - about 6 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 | 1043598535 | NPPES |
| Texas | MEDICAID | 301720401 |
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