Smith, Kelly Don
Smith, Kelly Don is an individual health care provider with primary practice located at 2200 N Kimball #700 , Mitchell SD 57301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smith, Kelly Don can be contacted via phone (605) 996-1159.Contact Information
Primary practice address
2200 N Kimball #700
Mitchell SD 57301
Phone: (605) 996-1159
Fax: (605) 996-1159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5012 | South Dakota |
Profile Details
| NPI number | 1780751099 |
|---|---|
| LBN Legal business name | Smith, Kelly Don |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Mar 19th, 2010 - about 16 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 | 1780751099 | NPPES |
| South Dakota | MEDICAID | 7200660 |
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