Individual
KELLEY ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1735 27TH ST, WALLER BLDG. SUITE B 06, PORTSMOUTH, OH 45662-2677
(740) 356-8051
Mailing address
1735 27TH ST, WALLER BLDG. SUITE B 06, PORTSMOUTH, OH 45662-2677
(740) 356-8051
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036142017
IL
207P00000X
Emergency Medicine Physician
58004885
OH
Other
Enumeration date
07/31/2013
Last updated
04/16/2018
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