Individual
MS. KELLY PAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
9320 GRAND CORDERA PKWY STE 100, COLORADO SPRINGS, CO 80924-7004
(719) 344-2780
(855) 803-5480
Mailing address
819 DUNSTON ST, COLORADO SPRINGS, CO 80907-4130
(719) 237-7181
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1036238
CO
Other
Enumeration date
06/05/2012
Last updated
03/17/2018
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