Kendra Mae Black-Smith in Coeur D Alene - Neonatal-perinatal Medicine

Kendra Mae Black-Smith - NPI 1790866044

Kendra Mae Black-Smith is a Neonatal-perinatal Medicine in Coeur D Alene, Idaho. Kendra Mae Black-Smith practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Kendra Mae Black-Smith is 1790866044. The last update date is 2019-04-03.

Kendra Mae Black-Smith's current location address is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can contact this provider via phone number 2086255185 and fax number 2086256892. The mailing address for Kendra Mae Black-Smith is 2003 Kootenai Health Way, Coeur D Alene, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Kendra Mae Black-Smith
Address 2003 Kootenai Health Way, Coeur D Alene, Idaho
Phone Number 2086255185
Fax Number 2086256892
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790866044
Provider Enumeration Date 2006-10-17
Last Updated Date 2019-04-03

Provider Mailing Address Detail

Address 2003 Kootenai Health Way
City Coeur D Alene
State Idaho (ID)
Post Code 83814
Phone Number 2086255185
Fax Number 2086256892

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No MD00039197
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
272030 INTERNAL ID-MOTOR VEHICLE ID
8269235 WA --

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FAQs about Kendra Mae Black-Smith

What is the Kendra Mae Black-Smith's 1790866044?

The Kendra Mae Black-Smith's NPI (National Provider Identifier) Number is 1790866044. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kendra Mae Black-Smith is physically located?

The Kendra Mae Black-Smith is physically situated at the following address: 2003 Kootenai Health Way, Coeur D Alene, ID, 83814.

What is Kendra Mae Black-Smith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kendra Mae Black-Smith is Neonatal-perinatal Medicine, and the corresponding taxonomy classification code for this specialized field is 2080N0001X.

When did the Kendra Mae Black-Smith receive its 1790866044?

The Kendra Mae Black-Smith was issued its 1790866044 on 2006-10-17, which is the date when the organization was assigned this unique identifier.

When was the Kendra Mae Black-Smith's information last updated?

The Kendra Mae Black-Smith's information was last updated on 2019-04-03.

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