Smiley, Kathryn Brunk

Smiley, Kathryn Brunk is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smiley, Kathryn Brunk can be contacted via phone (504) 842-4070.

Contact Information

Primary practice address
1514 Jefferson Hwy New Orleans LA 70121-2429
Phone: (504) 842-4070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104473 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03567 North Carolina

Profile Details

NPI number 1285805499
LBN Legal business name Smiley, Kathryn Brunk
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Jul 22nd, 2016 - about 10 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 1285805499 NPPES
North Carolina MEDICAID 1285805499
North Carolina MEDICAID 8102554
North Carolina MEDICAID 1460PA
North Carolina MEDICAID 2141141
North Carolina MEDICAID 01139562

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