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Individual

KELLY RAE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDCS, RVT

Contact information

Practice address
800 S WASHINGTON AVE, ULTRASOUND DEPT, SAGINAW, MI 48601-2551
(989) 907-8229
Mailing address
800 S WASHINGTON AVE, ULTRASOUND DEPT, SAGINAW, MI 48601-2551
(989) 907-8229

Taxonomy

Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
10278
MI

Other

Enumeration date
01/24/2007
Last updated
07/08/2007
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