Kelly Wayne Smith, NP FNP-PP Valid NPI

Individual provider · Adult Health Nurse Practitioner · Coos Bay, OR

NPI

1508083189

Type

Individual (Type 1)

Primary specialty

Adult Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LA2200X

Sex

Male

Sole proprietor

No

Enumerated

2007-04-18

Last updated

2007-07-08