Smithey, Kevin

Smithey, Kevin is an sole proprietor health care provider with primary practice located at 1605 Benton Rd Ste D , Bossier City LA 71111-3579. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smithey, Kevin can be contacted via phone (318) 742-0500.

Contact Information

Primary practice address
1605 Benton Rd Ste D Bossier City LA 71111-3579
Phone: (318) 742-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1720584154
LBN Legal business name Smithey, Kevin
Credentials LAC, PLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2018
Last updated Mar 16th, 2026 - about 8 months 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 1720584154 NPPES
Louisiana MEDICAID 3969670

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