Smith, Kevin G
Smith, Kevin G is an individual health care provider with primary practice located at 408 S Main St , Greenville PA 16125-1773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Kevin G can be contacted via phone (724) 588-6500.Contact Information
Primary practice address
408 S Main St
Greenville PA 16125-1773
Phone: (724) 588-6500
Fax: (724) 588-2257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD040603E | Pennsylvania |
Profile Details
| NPI number | 1003895046 |
|---|---|
| LBN Legal business name | Smith, Kevin G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Mar 2nd, 2016 - about 10 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 | 1003895046 | NPPES |
| Pennsylvania | MEDICAID | 0012122300001 |
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