Kelly Smith

NPI 1003005513 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1003005513
Enumeration Date 10/20/2007
Last Updated 04/04/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KELLY KELLY
Position NURSE
Phone (951) 837-4703
Fax (951) 837-4702
Practice Location
30724 BENTON RD
C-302 #551
WINCHESTER CA, 92596-8470, US
Phone (951) 837-4703
Fax (951) 837-4702
Business Location
29970 TECHNOLOGY DR
#208
MURRIETA CA, 92563-2645, US
Phone (951) 837-4703
Fax (951) 837-4702
Toxanomy
Taxonomy Code 164X00000X
License State California
License Number 187389
Remove 1003005513 NPI Number
 

According to our database, Kelly Smith NPI is 1003005513, taxonomy code is 164X00000X and license number is 187389, license state is located at California. Kelly Smith physically located at 30724 Benton Rd, Winchester CA, 92596-8470. NPI Number 1033115704 has the healthcare provider type.

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1003005513 NPI number is provided on an as is basis without warranty of any kind. 1003005513 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Smith are for informational purposes only.