Smith, Kristin Marie

Smith, Kristin Marie is an individual health care provider with primary practice located at 12910 98Th Avenue N , Seminole FL 33776. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Smith, Kristin Marie can be contacted via phone (727) 643-6148.

Contact Information

Primary practice address
12910 98Th Avenue N Seminole FL 33776
Phone: (727) 643-6148
Fax: (727) 954-3260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5814 Florida

Profile Details

NPI number 1881744076
LBN Legal business name Smith, Kristin Marie
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jun 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881744076 NPPES
Florida Other S2514 BCBS
Florida Other 11938901 BCBS
Florida MEDICAID 885742300 BCBS

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