Smith, Kim Marie
Smith, Kim Marie is an individual health care provider with primary practice located at 5301 Mcauley Dr , Ypsilanti MI 48197-1051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Smith, Kim Marie can be contacted via phone (734) 712-3456.Contact Information
Primary practice address
5301 Mcauley Dr
Ypsilanti MI 48197-1051
Phone: (734) 712-3456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 054260 | Michigan |
Profile Details
| NPI number | 1144257171 |
|---|---|
| LBN Legal business name | Smith, Kim Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jun 10th, 2022 - about 4 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 | 1144257171 | NPPES |
| Michigan | Other | KJ054260 | BLUE SHIELD |
| Michigan | MEDICAID | 103372663 | BLUE SHIELD |
| Michigan | MEDICAID | 103458703 | BLUE SHIELD |
| Michigan | MEDICAID | 104482070 | BLUE SHIELD |
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