Organization
KELLY J SMITH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMITH MD (OWNER)
(210) 615-3700
Entity
Organization
Contact information
Practice address
5282 MEDICAL DR, SUITE 120, SAN ANTONIO, TX 78229-4849
(210) 615-3700
(210) 615-3701
Mailing address
5282 MEDICAL DR, SUITE 120, SAN ANTONIO, TX 78229-4849
(210) 615-3700
(210) 615-3701
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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