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Kelvin Dewayne Roden-smith, NP
Acute Care Nurse Practitioner in Wyandotte, Michigan
NPI 1669613220

Kelvin Dewayne Roden-smith is an Acute Care Nurse Practitioner based in Trenton, MI and is specialized in Acute Care. Kelvin Dewayne Roden-smith practices in Wyandotte, MI and has the professional credentials of NP. The NPI Number for Kelvin Dewayne Roden-smith is 1669613220 and holds a License No. 4704226230 (Michigan).

The current practice location address for Kelvin Dewayne Roden-smith is 2333 Biddle Ave, Wyandotte, MI and can be reached out via phone at 734-246-6000.

Location: 2333 Biddle Ave, Wyandotte, MI, 48183-2040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669613220
Provider Name
Kelvin Dewayne Roden-smith
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2333 Biddle Ave, Wyandotte, MI, 48183-2040
Phone Number
734-246-6000
Fax Number
Provider Enumeration Date
03/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2333 Biddle Ave
City
Wyandotte
State
Michigan
Zip
48192-4668
Phone Number
734-246-6000
Fax Number
person
Provider Business Mailing Address Details
Address
2333 Biddle Ave
City
Wyandotte
State
Michigan
Zip
48192-4668
Phone Number
734-246-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704226230 (Michigan)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
4704226230 (Michigan)
Definition
Definition to come...
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