Individual
DR. KELLY DENNIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
211 OAKMONT DR, NEW ORLEANS, LA 70128-3624
(504) 388-5907
(504) 388-5907
Mailing address
211 OAKMONT DR, NEW ORLEANS, LA 70128-3624
(504) 388-5907
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
AP04620
LA
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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