Individual
KELSEY MCLAUGHLIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001294625
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024191764
VA
363LP0200X
Pediatric Nurse Practitioner
1396460390
VA
Other
Enumeration date
10/11/2022
Last updated
08/07/2025
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