Individual
MRS. KELLY JORDAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2000 E GREENVILLE ST STE 3850, ANDERSON, SC 29621-1774
(864) 716-6024
Mailing address
2000 E GREENVILLE ST STE 3850, ANDERSON, SC 29621-1774
(864) 716-6024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN F2617
SC
Other
Enumeration date
07/09/2008
Last updated
01/16/2014
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