Individual provider · Type 1 NPI
Keith R. Smith, PMHNP, BC
Psychiatric/Mental Health Nurse Practitioner · Lackland A F B, TX
NPI number
1811967631
Active
Practice location
2200 Bergquist Dr, Suite 1
Lackland A F B, TX 78236-9907
Mailing address
10906 Rocky Trl
San Antonio, TX 78249-4133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 530772 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1811967631
Keith R. Smith, PMHNP, BC's National Provider Identifier is 1811967631, issued on Jan 24, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lackland A F B, TX. The record was last updated on Apr 26, 2011.