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Contact Information

KATHLEEN D SMITH, PA
2321 S. NATIONAL
SMITH GLYNN CALLAWAY URGENT CARE
SPRINGFIELD, MO65807
 Phone: 417-888-5666
 Fax: 417-890-4174
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHLEEN D SMITH · (Female)

NPI # 1306833702
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/30/2005
Last updated 02/03/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 878
  • MO License # 2008004931
  • Other P00653964 RAILROAD MEDICARE
  • Other 431560263 TRICARE WEST
Hospital affiliation(s)
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
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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