KELLEY LYNN SMITH APNP NPI 1205610862

NPI Information

NPI: 1205610862
Provider Name: KELLEY LYNN SMITH, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
333 N GREEN BAY RD
NEENAH, WI
ZIP 54956
Phone: (920) 725-2070
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Kelley Lynn Smith, APNP is a family nurse practitioner in Neenah, WI with 1 years of experience. Kelley Lynn Smith, APNP NPI is 1205610862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

333 N GREEN BAY RD
NEENAH, WI
ZIP 54956-954
Phone: (920) 725-2070

The NPI 1205610862 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2023 and was last updated on 8/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	14415-33	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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