Smith, Lewis Kelley

Smith, Lewis Kelley is an individual health care provider with primary practice located at 4301 S Flamingo Rd , Davie FL 33330-1902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Lewis Kelley can be contacted via phone (954) 640-1200.

Contact Information

Primary practice address
4301 S Flamingo Rd Davie FL 33330-1902
Phone: (954) 640-1200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9114266 Florida

Profile Details

NPI number 1982273678
LBN Legal business name Smith, Lewis Kelley
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2021
Last updated Nov 6th, 2021 - about 5 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 1982273678 NPPES
Florida MEDICAID 1581533056

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