Kelly J Smith in Kalamazoo - Nurse Practitioner
Kelly J Smith - NPI 1528035078
Kelly J Smith is a Nurse Practitioner in Kalamazoo, Michigan. Kelly J Smith practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly J Smith is 1528035078. The last update date is 2020-11-17.
Kelly J Smith's current location address is 200 N Park St, Kalamazoo, Michigan. You can contact this provider via phone number 2693822500 and fax number 2693737478. The mailing address for Kelly J Smith is 200 N Park St, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly J Smith |
|---|---|
| Address | 200 N Park St, Kalamazoo, Michigan |
| Phone Number | 2693822500 |
| Fax Number | 2693737478 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1528035078 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2020-11-17 |
Provider Mailing Address Detail
| Address | 200 N Park St |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490073731 |
| Phone Number | 2693822500 |
| Fax Number | 2693737478 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704152480 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4631966 | MI | -- |
Post Comment/ Review Below
What is the Kelly J Smith's 1528035078?
The Kelly J Smith's NPI (National Provider Identifier) Number is 1528035078. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kelly J Smith is physically located?
The Kelly J Smith is situated at the following address: 200 N Park St, Kalamazoo, MI 490073731.
What is the Kelly J Smith's specialty and taxonomy code?
The Kelly J Smith's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528035078 to Kelly J Smith?
The Centers for Medicare & Medicaid Services originally issued the 1528035078 to Kelly J Smith on 2006-03-03.
As of what date was the information pertaining to Kelly J Smith, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly J Smith, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-11-17.
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