Individual
KELLIE DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 343-6300
(978) 343-2803
Mailing address
155 AIRPORT ROAD, FIT, MA 04120
(978) 343-6300
(978) 343-2803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2334146
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2334146
REGISTERED NURSE
MA
Enumeration date
05/20/2021
Last updated
05/20/2021
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