Organization
KELLY RAE SMITH DNP APRN LLC
Active
Other names
Kelly Rae Smith
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RAE GRAHAM NP (NP/OWNER)
(502) 396-0237
Entity
Organization
Contact information
Practice address
13402 CREEKVIEW RD, PROSPECT, KY 40059-9028
(502) 396-0237
(833) 449-5152
Mailing address
PO BOX 37270, BELFAST, ME 04915-1214
(502) 396-0237
(833) 449-5152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100951070
—
KY
Enumeration date
11/03/2020
Last updated
11/17/2025
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