Individual provider · Type 1 NPI

Kellie Miranda Smith Blackwell, DO

Family Medicine Physician · Abingdon, VA

NPI number 1104053891 Active

Practice location

117 Cook St
Abingdon, VA 24210-3203

Fax (276) 619-5115

Mailing address

PO Box 3889
Johnson City, TN 37602-3889

Other practice locations

  • 320 Steeles Rd, Bristol, TN 37620-9532 · (423) 390-1900

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X5527 (TN)
Family Medicine Physician Primary 207Q00000X0102203141 (VA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

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About NPI 1104053891

Kellie Miranda Smith Blackwell, DO's National Provider Identifier is 1104053891, issued on Jun 19, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Abingdon, VA. The record was last updated on Jan 11, 2024.