Smith, Kathryn Louise

Smith, Kathryn Louise is an individual health care provider with primary practice located at 44250 Dequindre Rd , Sterling Heights MI 48314-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Kathryn Louise can be contacted via phone (248) 964-6101.

Contact Information

Primary practice address
44250 Dequindre Rd Sterling Heights MI 48314-1002
Phone: (248) 964-6101
Fax: (248) 964-9888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704119154 Michigan

Profile Details

NPI number 1467533786
LBN Legal business name Smith, Kathryn Louise
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 21st, 2022 - about 4 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 1467533786 NPPES
Michigan Other 50-0866033-0 BCBSM

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