Individual
MS. KELLY KRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
271 E 138TH ST, BRONX, NY 10454-2909
(347) 407-7120
Mailing address
271 E 138TH ST, BRONX, NY 10454-2909
(347) 407-7120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F345592-01
NY
Other
Enumeration date
05/19/2020
Last updated
06/04/2026
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