Smith, Kelly A

Smith, Kelly A is an individual health care provider with primary practice located at 1001 Military St , Port Huron MI 48060-5416. She recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as her primary health care specialty. Smith, Kelly A can be contacted via phone (810) 985-5437.

Contact Information

Primary practice address
1001 Military St Port Huron MI 48060-5416
Fax: (800) 248-1568
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X Michigan

Profile Details

NPI number 1356636054
LBN Legal business name Smith, Kelly A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated Jun 22nd, 2011 - about 14 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 1356636054 NPPES
Michigan Other 372600000X ADULT COMPANION

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