Smith, William Ken

Smith, William Ken is an individual health care provider with primary practice located at 5250 N Ocean Dr #4N, Riviera Beach FL 33404-2657. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Smith, William Ken can be contacted via phone (561) 876-5845.

Contact Information

Primary practice address
5250 N Ocean Dr #4N Riviera Beach FL 33404-2657
Phone: (561) 876-5845
Fax: (561) 370-7026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2880202 Florida

Profile Details

NPI number 1942276175
LBN Legal business name Smith, William Ken
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated May 4th, 2012 - about 12 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 1942276175 NPPES
Florida MEDICAID 305440300

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