Bonnie Kellam Smith WHCNP

NPI 1053518894 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1053518894
Gender Female
Enumeration Date 06/27/2007
Last Updated 11/18/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
4600 GULF FWY
HOUSTON TX, 77023-3548, US
Phone (713) 831-6507
Fax (713) 535-2507
Business Location
4600 GULF FWY
HOUSTON TX, 77023-3548, US
Phone (713) 831-6507
Fax (713) 535-2507
Toxanomy
Taxonomy Code 363LW0102X
License State Louisiana
License Number AP04701
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According to our database, Bonnie Kellam Smith WHCNP NPI is 1053518894, taxonomy code is 363LW0102X and license number is AP04701, license state is located at Louisiana. Bonnie Kellam Smith WHCNP physically located at 4600 Gulf Fwy, Houston TX, 77023-3548. NPI Number Bonnie Kellam Smith WHCNP has the Individual type.

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1053518894 NPI number is provided on an as is basis without warranty of any kind. 1053518894 is maintained by the National Plan & Provider Enumeration System. The contents of Bonnie Kellam Smith WHCNP are for informational purposes only.