Smith, Kathryn A.
Smith, Kathryn A. is an sole proprietor health care provider with primary practice located at 1605 S 28Th Ave , Hattiesburg MS 39402-3110. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Smith, Kathryn A. can be contacted via phone (601) 579-3310.Contact Information
Primary practice address
1605 S 28Th Ave
Hattiesburg MS 39402-3110
Phone: (601) 579-3310
Fax: (601) 264-0231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A3087 | Mississippi |
Profile Details
| NPI number | 1861553224 |
|---|---|
| LBN Legal business name | Smith, Kathryn A. |
| Credentials | AUDIOLOGISTS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Aug 7th, 2020 - about 6 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 | 1861553224 | NPPES |
| Mississippi | MEDICAID | 02086206 | |
| Mississippi | Other | 9574868 | |
| Mississippi | Other | 4656554 | |
| Mississippi | Other | 3151998 |
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