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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY WAYNE SMITH, NP FNP-PP

Active

Adult Health Nurse Practitioner · COOS BAY, OR

Registration Details

NPI Number
1508083189
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2007 (19.019453722591 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
BAY CLINIC, LLP
1750 THOMPSON RD
COOS BAY, OR, 97420
Browse OR providers · Browse ZIP 97420
Phone
5412690333
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in COOS BAY, OR

Name Credential NPI
MRS. JENNIFER EMMA ALLRED 1124078407
MIHAL ANNE KAUFMAN NPC 1548518913
ALLISON ARENDS NP 1336780105
SANDY LYNN TEETER NP-PP AGNP 1477189009
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.