Smyth, Kelly Elizabeth

Smyth, Kelly Elizabeth is an individual health care provider with primary practice located at 183 N Mountain Rd Ste 207 , New Britain CT 06053-4325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Smyth, Kelly Elizabeth can be contacted via phone (860) 696-2040.

Contact Information

Primary practice address
183 N Mountain Rd Ste 207 New Britain CT 06053-4325
Phone: (860) 696-2040
Fax: (860) 696-2050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3654 Connecticut

Profile Details

NPI number 1730634791
LBN Legal business name Smyth, Kelly Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2016
Last updated Apr 26th, 2023 - about 3 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 1730634791 NPPES
Illinois Other 085.006397 IL PA LICENSE

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