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Contact Information

KRISTY M SMITH, MD
28800 RYAN RD
SUITE 120
WARREN, MI48092-4272
 Phone: 586-558-2860
 Fax: 586-558-4624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KRISTY M SMITH · (Female)

NPI # 1174752547
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2009
Last updated 10/30/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01093465A
  • MI License # 4301095192
Hospital affiliation(s)
  • SINAI-GRACE HOSPITAL - (Acute Care)
    6071 W OUTER DRIVE
    DETROIT, MI 48235
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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