Individual
KERRY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1685
MN
363L00000X
Nurse Practitioner
R1664115
MN
363LF0000X
Family Nurse Practitioner
R1664115
MN
Other
Enumeration date
05/27/2014
Last updated
02/16/2021
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