Individual
KELLY LORRIANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
251 KEISLER DR STE 201, CARY, NC 27518-7091
(919) 322-5440
Mailing address
417 W PEACE ST APT 311, RALEIGH, NC 27603-5021
(832) 588-6328
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5015055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5015055
NC BON
NC
Enumeration date
09/23/2021
Last updated
01/26/2023
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