Smith, Mary Kelli

Smith, Mary Kelli is an sole proprietor health care provider with primary practice located at 1000 Ochsner Blvd , Covington LA 70433-8107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Mary Kelli can be contacted via phone (985) 898-7150.

Contact Information

Primary practice address
1000 Ochsner Blvd Covington LA 70433-8107
Phone: (985) 898-7150
Fax: (985) 898-7151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12887 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 307654 Louisiana

Profile Details

NPI number 1962451518
LBN Legal business name Smith, Mary Kelli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated May 10th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962451518 NPPES
Mississippi MEDICAID 00123462

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