Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY M SMITH, P.A.
ActiveKELLY M SMITH, P.A. is a Physician Assistant healthcare provider located in SALEM, New York. NPI 1194818658 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SALEM, NY
Registration Details
- NPI Number
- 1194818658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2006 (19.684314765877 yrs)
- Last Updated
- Jun 7, 2012
- License
-
003117 (NY)
Practice Information
- Address
-
213 MAIN STREETSALEM FAMILY HEALTH CENTERSALEM, NY, 12865Browse NY providers · Browse ZIP 12865
- Phone
- 5188543821
- Fax
- 5188543224
- Primary Specialty
-
Physician Assistant
363A00000X
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.