Kelly Wayne Smith, NP FNP-PP

NPI #1508083189 in Coos Bay, Oregon

Provider Information

NPI Number
1508083189
Entity Type
Individual
Name
Kelly Wayne Smith, NP FNP-PP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Adult Health
Credential
NP FNP-PP
Enumeration Date
Apr 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
BAY CLINIC, LLP
Address 2
1750 THOMPSON RD
State
Oregon
ZIP Code
97420
Phone
(541) 269-0333

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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