Kelly Payne Smith, NP

NPI #1588173199 in Mequon, Wisconsin

Provider Information

NPI Number: 1588173199
Entity Type: Individual
Name: Kelly Payne Smith, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Sep 26, 2017
Last Updated: May 10, 2019

Practice Location

Address: 10554 N PORT WASHINGTON RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-5537
Phone: (414) 352-2766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner	363L00000X	Primary

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