person
Mrs. Kelly Nicole Smith, PA-C
Medical Physician Assistant in Moundsville, West Virginia
NPI 1780673772

Kelly Nicole Smith is a Medical Physician Assistant based in Moundsville, WV and is specialized in Medical. Kelly Nicole Smith practices in Moundsville, WV and has the professional credentials of PA-C. The NPI Number for Kelly Nicole Smith is 1780673772 and holds a License No. 222 (West Virginia).

The current practice location address for Kelly Nicole Smith is 1307 Lafayette Ave, Moundsville, WV and can be reached out via phone at 304-845-2500 and via fax at 304-845-2624.

Location: 1307 Lafayette Ave, Moundsville, WV, 26041-2316
person
Provider Profile Details
NPI Number
1780673772
Provider Name
Kelly Nicole Smith
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1307 Lafayette Ave, Moundsville, WV, 26041-2316
Phone Number
304-845-2500
Fax Number
304-845-2624
Provider Enumeration Date
10/21/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1307 Lafayette Ave
City
State
Zip
26041-2316
Phone Number
304-845-2500
Fax Number
304-845-2624
person
Provider Business Mailing Address Details
Address
1307 Lafayette Ave
City
State
Zip
26041-2316
Phone Number
304-845-2500
Fax Number
304-845-2624
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
222 (West Virginia)
Definition
Definition to come...
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