Individual
MR. KURTIS RUSSELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
2086 N 1700 W, SUITE C, LAYTON, UT 84041-1164
(801) 773-8644
(801) 927-1591
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-4558
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6216136-4405
UT
363LP0200X
Pediatric Nurse Practitioner
6216136-4405
UT
Other
Enumeration date
10/03/2013
Last updated
05/22/2025
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