Individual
KELLY S SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1340
(810) 342-1335
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1340
(810) 342-1335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
861567
MI
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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