Robert John Smith in Fort Campbell - Licensed Practical Nurse
Robert John Smith - NPI 1992760631
Robert John Smith is a Licensed Practical Nurse in Fort Campbell, Kentucky. Robert John Smith practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Robert John Smith is 1992760631. The last update date is 2020-05-18.
Robert John Smith's current location address is 650 Joel Dr, Fort Campbell, Kentucky. You can contact this provider via phone number 2707988766 and fax number 6305705225. The mailing address for Robert John Smith is 650 Joel Dr, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert John Smith |
|---|---|
| Address | 650 Joel Dr, Fort Campbell, Kentucky |
| Phone Number | 2707988766 |
| Fax Number | 6305705225 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1992760631 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2020-05-18 |
Provider Mailing Address Detail
| Address | 650 Joel Dr |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422235318 |
| Phone Number | 2707988766 |
| Fax Number | 6305705225 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LPN000004999 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LPN0000049998 | TN | NURSING LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert John Smith by the Centers for Medicare & Medicaid Services?
The Robert John Smith has been assigned the NPI (National Provider Identifier) 1992760631 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Robert John Smith is physically located?
The Robert John Smith is physically situated at the following address: 650 Joel Dr, Fort Campbell, KY, 422235318.
What is the Robert John Smith's area of specialization and corresponding taxonomy classification?
The Robert John Smith's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Robert John Smith receive its 1992760631 assignment from the Centers for Medicare & Medicaid Services?
The Robert John Smith was assigned its 1992760631 by the Centers for Medicare & Medicaid Services on 2006-04-18.
As of what date were the details related to Robert John Smith most recently updated or revised?
The information pertaining to Robert John Smith, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-18.