Smith, William Keith

Smith, William Keith is an sole proprietor health care provider with primary practice located at 1627 N Kickapoo Ave , Shawnee OK 74804-4313. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Smith, William Keith can be contacted via phone (405) 275-8234.

Contact Information

Primary practice address
1627 N Kickapoo Ave Shawnee OK 74804-4313
Phone: (405) 275-8234
Fax: (405) 275-7298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 205 Oklahoma

Profile Details

NPI number 1699757336
LBN Legal business name Smith, William Keith
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Mar 9th, 2016 - about 7 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 1699757336 NPPES
Oklahoma Other P01598903 RAILROAD MEDICARE
Oklahoma MEDICAID 100779890C RAILROAD MEDICARE

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