Kelly Jean Smith

NPI 1700192481 - Psychologist - 103T00000X

NPI Details
NPI 1700192481
Gender Female
Enumeration Date 08/19/2010
Last Updated 08/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2640 BRESLAUER WAY
REDDING CA, 96001-4246, US
Phone (530) 225-5200
Fax
Business Location
2640 BRESLAUER WAY
REDDING CA, 96001-4246, US
Phone (530) 225-5200
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Kelly Jean Smith NPI is 1700192481, taxonomy code is 103T00000X Kelly Jean Smith physically located at 2640 Breslauer Way, Redding CA, 96001-4246. NPI Number Kelly Jean Smith has the Individual type.

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1700192481 NPI number is provided on an as is basis without warranty of any kind. 1700192481 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Jean Smith are for informational purposes only.