Individual
KELLI NICHOLE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10153 W 5TH ST, PRATT, KS 67124-8206
(620) 213-1588
Mailing address
10153 W 5TH ST, PRATT, KS 67124-8206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75993
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201088050A
—
KS
Enumeration date
06/20/2013
Last updated
05/25/2021
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