Individual
KELLIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
415 KY 225, BARBOURVILLE, KY 40906-7759
(606) 619-4086
Mailing address
415 KY 225, BARBOURVILLE, KY 40906-7759
(606) 619-4086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013332
KY
Other
Enumeration date
07/16/2019
Last updated
09/10/2024
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