Individual
KAYE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1300 N 500 E, LOGAN, UT 84341-2408
(435) 716-5900
Mailing address
1300 N 500 E, LOGAN, UT 84341-2408
(435) 716-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7654915-4405
UT
Other
Enumeration date
03/07/2015
Last updated
03/07/2015
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