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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306833702 NPPES
Other 431560263 TRICARE WEST
Other P00653964 TRICARE WEST

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