Kelly A Smith in Gulfport - Independent Duty Corpsman
Kelly A Smith - NPI 1689830788
Kelly A Smith is a Independent Duty Corpsman in Gulfport, Mississippi. Kelly A Smith practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Kelly A Smith is 1689830788. The last update date is 2008-07-29.
Kelly A Smith's current location address is 3150 Holloway Dr, Gulfport, Mississippi. You can contact this provider via phone number 2288712810. The mailing address for Kelly A Smith is 3150 Holloway Dr, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A Smith |
|---|---|
| Address | 3150 Holloway Dr, Gulfport, Mississippi |
| Phone Number | 2288712810 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1689830788 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | 3150 Holloway Dr |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395019030 |
| Phone Number | 2288712810 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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Post Comment/ Review Below
What is the Kelly A Smith's unique identification number?
The Kelly A Smith has been assigned the NPI (National Provider Identifier) Number 1689830788 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kelly A Smith is geographically located?
The Kelly A Smith is physically situated at the following location: 3150 Holloway Dr, Gulfport, MS, 395019030.
What is Kelly A Smith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly A Smith's specialized field of practice is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this area of specialization is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689830788 to Kelly A Smith?
The Centers for Medicare & Medicaid Services assigned the 1689830788 to Kelly A Smith on 2008-07-29.
When was the information regarding Kelly A Smith most recently updated?
The details pertaining to the Kelly A Smith, including its address, specialty, and other relevant information, were last refreshed on 2008-07-29.
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