Individual provider · Type 1 NPI
Kelly Wayne Smith, NP FNP-PP
Adult Health Nurse Practitioner · Coos Bay, OR
NPI number
1508083189
Active
Practice location
Bay Clinic, Llp, 1750 Thompson Rd
Coos Bay, OR 97420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1508083189
Kelly Wayne Smith, NP FNP-PP's National Provider Identifier is 1508083189, issued on Apr 18, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Coos Bay, OR. The record was last updated on Jul 8, 2007.