Individual
KELSI D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5390
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
216606
OK
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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