Individual
DR. KELLY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4114 POND HILL RD STE 101, SAN ANTONIO, TX 78231-1273
(210) 249-5020
(210) 572-1540
Mailing address
PO BOX 781383, SAN ANTONIO, TX 78278-1383
(210) 249-5020
(210) 494-2209
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
M3394
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
M3394
TX
2080S0012X
Pediatric Sleep Medicine Physician
M3394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19177340-02
—
TX
Enumeration date
03/07/2007
Last updated
05/11/2026
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