Individual
COLLEEN M KENNEDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1745
Mailing address
12510 PROSPERITY DR, SUITE 200, SILVER SPRING, MD 20904-1663
(240) 485-5200
(301) 625-6906
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
319217
NC
Other
Enumeration date
09/02/2005
Last updated
08/13/2021
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