Individual provider · Type 1 NPI

Kelau Tano Smith, MD

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1023958337 Active

Practice location

825 Fairfax Ave Ste 563
Norfolk, VA 23507-1912

Call (757) 446-5258 Map

Mailing address

Macon & Joan Brock Vhs At Old Dominion University- Evms, Graduate Medical Education, P.o. Box 1980
Norfolk, VA 23501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023958337

Kelau Tano Smith, MD's National Provider Identifier is 1023958337, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Mar 31, 2026.