Individual
MRS. KELLI PUGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
901 ENTERPRISE PKWY STE 300, HAMPTON, VA 23666-6249
(757) 825-2500
(757) 825-2521
Mailing address
901 ENTERPRISE PKWY, STE 300, HAMPTON, VA 23666-6249
(757) 825-2500
(757) 825-2521
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003627
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236186432A
—
GA
Enumeration date
10/06/2005
Last updated
04/09/2020
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