Individual
KELLY RAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
618 N MECHANIC ST, CUMBERLAND, MD 21502-2113
(724) 986-5457
Mailing address
15515 BRICE HOLLOW RD SE, CUMBERLAND, MD 21502-8605
(240) 522-7977
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R231851
MD
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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