Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Smith

Individual provider Nurse Practitioner · NPI 1518353341

Kelly Smith is a Nurse Practitioner in South Boston, Virginia. Qualified in 2015, 11 years ago. Practices with Dominion Health Medical Assoc, a 34-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015

Practice location Address checks out

2232 Wilborn Ave Ste D
South Boston, VA 24592-1662
Phone: (434) 575-1212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024172518 (VA)

Record details

NPI number1518353341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESApril 8, 2015
Mailing address2232 Wilborn Ave Ste D, South Boston, VA 24592-1662

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dominion Health Medical Assoc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in South Boston