Kerry G Kingsley-Smith, RN Valid NPI

Individual provider · Registered Nurse · Salem, OR

NPI

1356584775

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

200441951RN (OR)

Sex

Male

Sole proprietor

No

Enumerated

2009-04-15

Last updated

2009-04-15