Kelly Smith
NPI #1518353341 in South Boston, Virginia
Provider Information
- NPI Number
- 1518353341
- Entity Type
- Individual
- Name
- Kelly Smith
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Apr 8, 2015
- Last Updated
- Apr 8, 2015
Practice Location
- Address
- 2232 WILBORN AVE STE D
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-1662
- Phone
- (434) 575-1212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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