Individual
MS. KERRI LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
826 W KING ST, SUITE R, OWOSSO, MI 48867-2120
(989) 729-4509
Mailing address
8550 PARKS RD, OVID, MI 48866-8626
(517) 256-1607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
717192
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ON54100
MEDICARE PART B MNT
MI
Enumeration date
04/01/2008
Last updated
05/10/2011
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