Smith, Kevin Charles

Smith, Kevin Charles is an individual health care provider with primary practice located at 2875 Holme Ave , Philadelphia PA 19152. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Kevin Charles can be contacted via phone (215) 673-1113.

Contact Information

Primary practice address
2875 Holme Ave Philadelphia PA 19152
Phone: (215) 673-1113
Fax: (215) 673-4941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC003171L Pennsylvania

Profile Details

NPI number 1518915594
LBN Legal business name Smith, Kevin Charles
Credentials DC CCSP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Apr 9th, 2013 - about 13 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 1518915594 NPPES
Pennsylvania MEDICAID 1514680
Pennsylvania Other 0061028000

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