Individual
KELLIE L. SMAIDI
Active
Individual
KELLIE L. SMAIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
118096
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11007497
FL
Other
Enumeration date
07/03/2019
Last updated
09/18/2020
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