Kelly Smith
NPI #1003005513 in Winchester, California
Provider Information
- NPI Number
- 1003005513
- Entity Type
- Organization
- Organization Name
- Kelly Smith
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Oct 20, 2007
- Last Updated
- Apr 4, 2012
Practice Location
- Address
- 30724 BENTON RD
- Address 2
- C-302 #551
- City
- Winchester
- State
- California
- ZIP Code
- 92596-8470
- Phone
- (951) 837-4703
Authorized Official
- Name
- KELLY SMITH, L.V.N.
- Title
- NURSE
- Phone
- (951) 837-4703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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