Dennis-Smithart, Ronda Kim
Dennis-Smithart, Ronda Kim is an individual health care provider with primary practice located at 123 E 3Rd St Ste 2 , Ottumwa IA 52501-2937. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dennis-Smithart, Ronda Kim can be contacted via phone (641) 682-8145.Contact Information
Primary practice address
123 E 3Rd St Ste 2
Ottumwa IA 52501-2937
Phone: (641) 682-8145
Fax: (641) 682-8857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24808 | Iowa |
Profile Details
| NPI number | 1316926785 |
|---|---|
| LBN Legal business name | Dennis-Smithart, Ronda Kim |
| Credentials | M.D.,F.A.A.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Sep 16th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316926785 | NPPES |
| Iowa | Other | 35250 | WELLMARK |
| Iowa | Other | 24808 | WELLMARK |
| Iowa | MEDICAID | 3036301 | WELLMARK |
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