Individual provider · Type 1 NPI

Kevin Andrew Smallman, NP

Nurse Practitioner · Charlotte, NC

NPI number 1669727087 Active

Practice location

11840 Southmore Dr Ste 100
Charlotte, NC 28277-4821

Fax (980) 308-0173

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice locations

  • 445 S Kings Dr, Charlotte, NC 28204-3041 · (980) 308-0141

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5005854 (NC)
Family Nurse Practitioner 363LF0000X217133 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669727087

Kevin Andrew Smallman, NP's National Provider Identifier is 1669727087, issued on Jul 23, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 22, 2021.