Individual
DR. KELLIE K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9050 MONTGOMERY ROAD, SUITE B, CINCINNATI, OH 45242-7740
(513) 631-6963
(513) 631-1970
Mailing address
9050 MONTGOMERY ROAD, SUITE B, CINCINNATI, OH 45242-7740
(513) 631-6963
(513) 631-1970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35065777
OH
208M00000X
Hospitalist Physician
35065777
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0996052
—
OH
01
—
P00790119
RAILROAD MEDICARE PIN
OH
Enumeration date
04/12/2006
Last updated
06/30/2015
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