Kelly J Smith Md Pa

NPI 1083829139 - Internal Medicine - 207RS0012X

NPI Details
NPI 1083829139
Enumeration Date 05/11/2007
Last Updated 07/30/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KELLY J KELLY
Position OWNER/PHYSICIAN
Phone (210) 615-3700
Fax (210) 615-3701
Practice Location
5282 MEDICAL DR
SUITE 120
SAN ANTONIO TX, 78229-4849, US
Phone (210) 615-3700
Fax (210) 615-3701
Business Location
5282 MEDICAL DR
SUITE 120
SAN ANTONIO TX, 78229-4849, US
Phone (210) 615-3700
Fax (210) 615-3701
Toxanomy
Taxonomy Code 207RS0012X
License State Texas
License Number M3394
Remove 1083829139 NPI Number
 

According to our database, Kelly J Smith Md Pa NPI is 1083829139, taxonomy code is 207RS0012X and license number is M3394, license state is located at Texas. Kelly J Smith Md Pa physically located at 5282 Medical Dr, San Antonio TX, 78229-4849. NPI Number 1033115704 has the healthcare provider type.

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1083829139 NPI number is provided on an as is basis without warranty of any kind. 1083829139 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly J Smith Md Pa are for informational purposes only.