Provider Demographics
NPI:1861601890
Name:SMITH, ELIZABETH KIRTS (MPH, ICCE, HBCE)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:KIRTS
Last Name:SMITH
Suffix:
Gender:F
Credentials:MPH, ICCE, HBCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PERINATAL PATIENT EDUCATION
Mailing Address - Street 2:50 N MEDICAL DR RM AA119
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-581-2896
Mailing Address - Fax:
Practice Address - Street 1:PERINATAL PATIENT EDUCATION
Practice Address - Street 2:50 N MEDICAL DR RM AA119
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-581-2896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist