Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLIE MIRANDA SMITH BLACKWELL, D.O.
Active Sole ProprietorDR. KELLIE MIRANDA SMITH BLACKWELL, D.O. is a Family Medicine healthcare provider located in ABINGDON, Virginia. NPI 1104053891 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ABINGDON, VA
Registration Details
- NPI Number
- 1104053891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2009 (17.144461016623 yrs)
- Last Updated
- Jan 11, 2024
- Licenses
-
5527 (TN)0102203141 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
117 COOK STABINGDON, VA, 242103203Browse VA providers · Browse ZIP 24210
- Phone
- 2766195052
- Fax
- 2766195115
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in ABINGDON, VA
| Name | Credential | NPI |
|---|---|---|
| DANE LEE | MD | 1952305609 |
| DR. LARAMIE CURTIS TRIPLETT | MD | 1447248745 |
| DR. SIMON P PENNINGS | MD | 1316936131 |
| DR. JOLANDA IRMA COOK | MD | 1841289675 |
| WILLIAM M HANDY | MD | 1124017744 |
| DR. BRUCE CARTER HIGINBOTHOM | M.D. | 1336181593 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.