Individual
KERI J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
520 8TH AVE NE, DEMOTTE, IN 46310-9108
(219) 987-3581
(219) 987-7137
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-3616
(219) 364-3610
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28149798A
IN
Other
Enumeration date
08/24/2016
Last updated
09/15/2020
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