Northlight Development LP

Contractor · Saint Louis, MO

Organization Active NPI

NPI number 1427422336

Practice location

3414 Hawthorne Blvd
Saint Louis, MO 63104-1623
Phone
(314) 773-4074

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NPI record

NPI
1427422336
Entity type
Organization (Type 2)
Enumeration date
November 17, 2015
Last updated
November 17, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X 26655 MO

Authorized official

Name
Dr. Kenneth R Smith Jr., MD
Title
President
Phone
(314) 773-4074

About Northlight Development LP

Northlight Development LP is a healthcare organization registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 3414 Hawthorne Blvd, Saint Louis, MO 63104-1623. The NPI number 1427422336 was assigned on November 17, 2015 and the record was last updated on November 17, 2015.

Northlight Development LP lists a license in the registry: #26655 (MO) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Kenneth R Smith Jr., MD, President.

Frequently asked questions

What is the NPI number of Northlight Development LP?

The NPI number is 1427422336.

What is the phone number of Northlight Development LP?

The phone number listed for the practice location is (314) 773-4074.

Where is Northlight Development LP located?

3414 Hawthorne Blvd, Saint Louis, MO 63104-1623.

What is the taxonomy code for Northlight Development LP?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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