Individual
DR. KELLY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML20008075
WA
207RH0003X
Hematology & Oncology Physician
Primary
DR.0071536
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029466
KAISER COMMERCIAL NUMBER
CO
Enumeration date
08/31/2006
Last updated
10/20/2023
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