Smith, Michelle Deann

Smith, Michelle Deann is an sole proprietor health care provider with primary practice located at 227 Burley Ave , Hopkinsville KY 42240-8725. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Smith, Michelle Deann can be contacted via phone (270) 887-5640.

Contact Information

Primary practice address
227 Burley Ave Hopkinsville KY 42240-8725
Phone: (270) 887-5640
Fax: (270) 886-5371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 26593 South Carolina
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 54389 Kentucky

Profile Details

NPI number 1871567578
LBN Legal business name Smith, Michelle Deann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Sep 21st, 2020 - about 5 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 1871567578 NPPES
South Carolina MEDICAID 265938

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