Individual
DR. KELLY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
134 RIVERSIDE DR, BINGHAMTON, NY 13905-4255
(607) 723-9018
Mailing address
134 RIVERSIDE DR, BINGHAMTON, NY 13905-4255
(607) 723-9018
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006711-1
NY
Other
Enumeration date
02/05/2013
Last updated
07/13/2015
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