Smith, Kathleen Dawn
Smith, Kathleen Dawn is an sole proprietor health care provider with primary practice located at 2321 S. National Smith Glynn Callaway Urgent Care, Springfield MO 65807. 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. Smith, Kathleen Dawn can be contacted via phone (417) 888-5666.Contact Information
Primary practice address
2321 S. National Smith Glynn Callaway Urgent Care
Springfield MO 65807
Phone: (417) 888-5666
Fax: (417) 890-4174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 878 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2008004931 | Missouri |
Profile Details
| NPI number | 1306833702 |
|---|---|
| LBN Legal business name | Smith, Kathleen Dawn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Feb 3rd, 2010 - about 16 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 | 1306833702 | NPPES |
| Other | 431560263 | TRICARE WEST | |
| Other | P00653964 | TRICARE WEST |
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