Smith, Keisha M.

Smith, Keisha M. is an individual health care provider with primary practice located at 9500 Euclid Ave St10, Cleveland OH 44195-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Smith, Keisha M. can be contacted via phone (440) 878-2500.

Contact Information

Primary practice address
9500 Euclid Ave St10 Cleveland OH 44195-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-079194 Ohio

Profile Details

NPI number 1063499911
LBN Legal business name Smith, Keisha M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Oct 25th, 2011 - about 15 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 1063499911 NPPES
Ohio MEDICAID 2256197

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