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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053412528 NPPES
California MEDICAID 00G792630

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