Smith, Kathleen Rene
Smith, Kathleen Rene is an individual health care provider with primary practice located at 1000 N 8Th Ave , Pocatello ID 83201-5757. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Kathleen Rene can be contacted via phone (208) 232-6260.Contact Information
Primary practice address
1000 N 8Th Ave
Pocatello ID 83201-5757
Phone: (208) 232-6260
Fax: (208) 232-6259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | SE202993 | Idaho |
Profile Details
| NPI number | 1235689902 |
|---|---|
| LBN Legal business name | Smith, Kathleen Rene |
| Credentials | SE202993 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2016 |
| Last updated | Oct 6th, 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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