DR. Kellie Miranda Smith Blackwell, D.O.

NPI #1104053891 in Abingdon, Virginia

Provider Information

NPI Number: 1104053891
Entity Type: Individual
Name: DR. Kellie Miranda Smith Blackwell, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 19, 2009
Last Updated: Jan 11, 2024

Practice Location

Address: 117 COOK ST
City: Abingdon
State: Virginia
ZIP Code: 24210-3203
Phone: (276) 619-5052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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