Individual
KELLIE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
35 MEDICAL CENTER PKWY STE 201, AUGUSTA, ME 04330-8160
(207) 622-1959
(207) 430-4007
Mailing address
35 MEDICAL CENTER PKWY STE 201, AUGUSTA, ME 04330-8160
(207) 622-1959
(207) 430-4007
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA133026
ME
Other
Enumeration date
01/07/2014
Last updated
11/03/2020
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