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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982273678 | NPPES |
| Florida | MEDICAID | 1581533056 |
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