Smith, Kathleen
Smith, Kathleen is an individual health care provider with primary practice located at 1450 Treat Blvd Suite 140, Walnut Creek CA 94597-2168. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Kathleen can be contacted via phone (925) 296-9770.Contact Information
Primary practice address
1450 Treat Blvd Suite 140
Walnut Creek CA 94597-2168
Phone: (925) 296-9770
Fax: (925) 296-9092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G079263 | California |
Profile Details
| NPI number | 1053412528 |
|---|---|
| LBN Legal business name | Smith, Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Apr 2nd, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053412528 | NPPES |
| California | MEDICAID | 00G792630 |
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