MRS. Kelly Smidebush, ARNP

NPI #1104176833 in Crestview, Florida

Provider Information

NPI Number
1104176833
Entity Type
Individual
Name
MRS. Kelly Smidebush, ARNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
ARNP
Enumeration Date
Sep 10, 2012
Last Updated
Oct 5, 2012

Practice Location

Address
129 E REDSTONE AVE
Address 2
SUITE A
State
Florida
ZIP Code
32539-5350
Phone
(850) 682-7212

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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