Smucker, Kristin B
Smucker, Kristin B is an individual health care provider with primary practice located at 120 Medical Park Dr Suite 200, Bridgeport WV 26330-9012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smucker, Kristin B can be contacted via phone (304) 624-7200.Contact Information
Primary practice address
120 Medical Park Dr Suite 200
Bridgeport WV 26330-9012
Phone: (304) 624-7200
Fax: (304) 624-0026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 00806 | West Virginia |
Profile Details
| NPI number | 1255367074 |
|---|---|
| LBN Legal business name | Smucker, Kristin B |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jan 23rd, 2015 - about 11 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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