Keeanna Smith, is a
Student In An Organized Health Care Education/training Program physician based in Dayton, Ohio. Keeanna Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is 128 E Apple St, 2nd Floor, Dayton, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 208-2004.
NPI number for Keeanna Smith is 1710410204 and her current mailing address is 128 E Apple St, 2nd Floor, Dayton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710410204.
Physician's Profile
| Full Name | Keeanna Smith |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 128 E Apple St, Dayton, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710410204
- Provider Enumeration Date: 04/11/2017
- Last Update Date: 08/12/2021
Medical Identifiers
Medical identifiers for Keeanna Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710410204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 35.140694 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keeanna Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keeanna Smith,
128 E Apple St, 2nd Floor,
Dayton, OH 45409-2902
Ph: () - | Keeanna Smith,
128 E Apple St, 2nd Floor,
Dayton, OH 45409-2902
Ph: (937) 208-2004 |
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