Individual
KELLY L SMEESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, PA-C
Contact information
Practice address
10103 RIDGEGATE PKWY STE 312, LONE TREE, CO 80124-5525
(303) 788-8888
(866) 456-4594
Mailing address
10103 RIDGEGATE PKWY STE 312, LONE TREE, CO 80124-5525
(303) 788-8888
(866) 456-4594
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
915688
CO
363A00000X
Physician Assistant
Primary
3106
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83270086
—
CO
Enumeration date
10/26/2010
Last updated
05/29/2024
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