Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SMITH
Active OrganizationKELLY SMITH is a Licensed Vocational Nurse organization located in WINCHESTER, California. NPI 1003005513 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · WINCHESTER, CA
Registration Details
- NPI Number
- 1003005513
- Provider Type
- Organization
- NPI Issued
- Oct 20, 2007 (18.631065163589 yrs)
- Last Updated
- Apr 4, 2012
- License
-
187389 (CA)
Practice Information
- Address
-
30724 BENTON RDC-302 #551WINCHESTER, CA, 925968470Browse CA providers · Browse ZIP 92596
- Phone
- 9518374703
- Fax
- 9518374702
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.