KATHY SUSANNE SMEHYL PA NPI 1578592648

NPI Information

NPI: 1578592648
Provider Name: KATHY SUSANNE SMEHYL, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1006 W PLEASANT ST
AVON PARK, FL
ZIP 33825
Phone: (863) 453-3121
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Kathy Susanne Smehyl, PA is a medical physician assistant in Avon Park, FL. Kathy Susanne Smehyl, PA NPI is 1578592648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1006 W PLEASANT ST
AVON PARK, FL
ZIP 33825-966
Phone: (863) 453-3121
Fax: (863) 452-2823

The enumeration date for this NPI number is 7/1/2006 and was last updated on 5/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA2897	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E1461X	MEDICARE UPIN	FLORIDA
2	E1461Y	MEDICARE PIN	FLORIDA
3	290609100	MEDICAID	FLORIDA
4	S66045	MEDICARE UPIN
5	970013283	OTHER		RAILROAD MEDICARE
6	E1461W	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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