KHADIAN SMITH


Address: 7248 Tilghman St Ste 160, Allentown, PA 18106-9562
Phone: 2155577300

KHADIAN SMITH (NPI# 1629531108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629531108
Entity Type Individual
Full Name KHADIAN SMITH
Practice Address 7248 Tilghman St Ste 160
Allentown
PA 18106-9562
Practice Telephone 2155577300
Enumeration Date 2019-04-10
Last Update Date 2019-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP020202 PA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1420 Huntingdon Pike, Huntingdon Valley, PA 190068331 2156688330

Office Location

Street Address 7248 TILGHMAN ST STE 160
City ALLENTOWN
State PA
Zip Code 18106-9562

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1790333458 Loanna T Nguyen Nurse Practitioner 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 2019-08-27
1326502774 Alexander Anthony Morris Nurse Practitioner 780 N Krocks Rd # 101, Allentown, PA 18106-9075 2019-01-29
1609384908 Elijah Kimutai Chumo Nurse Practitioner 920 Beverly Dr, Allentown, PA 18103-3724 2018-01-21
1871004598 Danielle A Garzillo Nurse Practitioner 3050 Hamilton Blvd Ste 100, Allentown, PA 18103-3691 2017-10-20
1992216758 Stephanie Grace Frederick Nurse Practitioner 450 Chew St Ste 202, Allentown, PA 18102-3434 2017-10-19
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1487191045 Kathleen Baldwin Nurse Practitioner 1240 S Cedar Crest Blvd Ste 2800, Allentown, PA 18103-6369 2017-01-20
1184029886 Lynette M. Dondero Nurse Practitioner 707 Hamilton Streeet, Suite 301, Allentown, PA 18101 2014-10-24
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Competitor

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City ALLENTOWN
Zip Code 18106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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