Kendra Mae Black-smith
MD | Pediatric Neonatal-Perinatal Medicine | Female
Kendra Mae Black-smith, MD is a Coeur D Alene, Idaho based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine. Kendra Mae Black-smith is also known as
Kendra M Smith.
Current practice location of Kendra Mae Black-smith is
2003 Kootenai Health Way, Coeur D Alene, Idaho - 83814. She can be contacted on phone at
208-625-5185 and fax number 208-625-6892.
Kendra Mae Black-smith is a sole proprietor of her business.
NPI number (Unique professional ID) for Kendra Mae Black-smith is
1790866044 which was assigned by NPPES on 17 Oct, 2006 and it was last updated on 03 Apr, 2019.
Kendra Mae Black-smith license number is
M14495 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Idaho.
Kendra Mae Black-smith 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.
Complete Profile:
Kendra Mae Black-smith basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Kendra Mae Black-smith |
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| Other Name : | Kendra M Smith |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Kendra Mae Black-smith address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2003 Kootenai Health Way
Coeur D Alene, ID, 83814
United States |
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| Phone Number : | 208-625-5185 |
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| Fax Number : | 208-625-6892 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790866044 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Oct, 2006 |
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| Last Updated On : | 03 Apr, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kendra Mae Black-smith are as mentioned. Primary taxonomy code for Kendra Mae Black-smith, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | MD00039197 | WA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | M14495 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Kendra Mae Black-smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8269235 | MEDICAID | WA | |
| 272030 | Other | | INTERNAL ID-MOTOR VEHICLE ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2003 Kootenai Health Way
Coeur D Alene, ID, 83814-6051
United States |
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| Phone Number : | 208-625-5059 |
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| Fax Number : | 208-625-5731 |
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Business Location:
Patients can refer following map for directions to
Kendra Mae Black-smith practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.