Individual
KELLEY N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3300 WADE HAMPTON BLVD, TAYLORS, SC 29687-2902
(864) 268-9160
(864) 834-4966
Mailing address
3300 WADE HAMPTON BLVD, TAYLORS, SC 29687-2902
(800) 268-9160
(864) 834-4966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19696
SC
363LF0000X
Family Nurse Practitioner
NP-14146
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3506
—
SC
Enumeration date
01/16/2013
Last updated
06/30/2022
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