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Individual
KELLY RENAE GRUMMER-SMITH
Active
Individual
KELLY RENAE GRUMMER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
545382
CA
163WL0100X
Lactation Consultant (Registered Nurse)
RN180155
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
NP180155
GA
Other
Enumeration date
04/08/2013
Last updated
10/10/2025
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