Kelly A Smith, IDC
Kelly A Smith, IDC is an Independent Duty Corpsman in Gulfport, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
5501 Marvin Shields BlvdGulfport, MS 39501-9007
Phone: (228) 871-2810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1689830788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2008 |
| Last updated in NPPES | July 29, 2008 |
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