Kirk Macdonald Smith in Medford - Family

Kirk Macdonald Smith - NPI 1811994254

Kirk Macdonald Smith is a Family in Medford, Oregon. Kirk Macdonald Smith practices all healthcare services and medical treatments related to Family. The NPI Number for Kirk Macdonald Smith is 1811994254. The last update date is 2011-09-09.

Kirk Macdonald Smith's current location address is 19 Myrtle St, Medford, Oregon. You can contact this provider via phone number 5417733863 and fax number 5416184413. The mailing address for Kirk Macdonald Smith is 19 Myrtle St, Medford, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirk Macdonald Smith
Address 19 Myrtle St, Medford, Oregon
Phone Number 5417733863
Fax Number 5416184413
Sole Proprietor N
Credentials MS, FNP

NPI Number Detail

NPI Number 1811994254
Provider Enumeration Date 2005-06-30
Last Updated Date 2011-09-09

Provider Mailing Address Detail

Address 19 Myrtle St
City Medford
State Oregon (OR)
Post Code 975047337
Phone Number 5417733863
Fax Number 5416184413

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 200150032
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
227698 OR --

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FAQs about Kirk Macdonald Smith

What is the unique 10-digit identifier code assigned to Kirk Macdonald Smith by the Centers for Medicare & Medicaid Services?

The Kirk Macdonald Smith has been issued the NPI (National Provider Identifier) 1811994254 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kirk Macdonald Smith?

The Kirk Macdonald Smith is situated at 19 Myrtle St, in the city of Medford, state of OR, with the zip code 975047337.

What is Kirk Macdonald Smith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kirk Macdonald Smith is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

When was the Kirk Macdonald Smith's 1811994254 issued?

The Kirk Macdonald Smith's 1811994254 was issued on 2005-06-30.

As of what date was the information regarding Kirk Macdonald Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kirk Macdonald Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-09.

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