Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KRISTY MARIE SMITH, M.D.
Active Sole ProprietorSports Medicine (EM) · WARREN, MI
Registration Details
- NPI Number
- 1174752547
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2009 (16.792216092734 yrs)
- Last Updated
- Oct 30, 2024
- Licenses
-
4301095192 (MI)01093465A (IN)4301095192 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28800 RYAN RDSUITE 120WARREN, MI, 480924272Browse MI providers · Browse ZIP 48092
- Phone
- 5865582860
- Fax
- 5865584624
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Sports Medicine (EM)
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.