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Individual
KEELY G SMITH
Active
Individual
KEELY G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
M1353
TX
2080P0214X
Pediatric Pulmonology Physician
M1353
TX
208M00000X
Hospitalist Physician
Primary
M1353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173516901
—
TX
05
—
173516902
—
TX
01
—
173516903
CSHCN
TX
01
—
8W7643
BCBS
TX
Enumeration date
01/23/2007
Last updated
04/01/2024
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