Healthcare Provider Details

I. General information

NPI: 1609653815
Provider Name (Legal Business Name): SMITHERS & KO HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 GROVELAND ST STE C3
HAVERHILL MA
01830-6674
US

IV. Provider business mailing address

288 GROVELAND ST STE C3
HAVERHILL MA
01830-6674
US

V. Phone/Fax

Practice location:
  • Phone: 978-206-1860
  • Fax: 978-706-0006
Mailing address:
  • Phone: 978-206-1860
  • Fax: 978-706-0006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY KO
Title or Position: NP
Credential:
Phone: 978-206-1860