Kelly S Smith, CNP | |
1740 Cleveland Rd, Wooster, OH 44691-2204 | |
(330) 287-4500 | |
Not Available |
Full Name | Kelly S Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1740 Cleveland Rd, Wooster, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083772610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP09513 (Ohio) | Primary |
Entity Name | Wooster Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
Mailing Address | Practice Location Address |
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Kelly S Smith, CNP 1740 Cleveland Rd, Wooster, OH 44691-2204 Ph: (330) 287-4500 | Kelly S Smith, CNP 1740 Cleveland Rd, Wooster, OH 44691-2204 Ph: (330) 287-4500 |
Ms. Patricia C. Mclaughlin, MSN/NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2326 Eagle Pass, Wooster, OH 44691 Phone: 330-262-2800 Fax: 330-262-2807 | |
Ms. Theresa Kimberley Malmon-berg, M.S.N., C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1740 Cleveland Rd, Wooster, OH 44691 Phone: 330-287-4500 | |
Connie Sue Rackow, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 334 E Milltown Rd, Wooster, OH 44691 Phone: 330-345-7798 Fax: 330-345-7225 | |
Christina M Hayden, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 Noble Dr, Wooster, OH 44691 Phone: 330-264-3232 | |
Sharon M Weyer, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1874 Cleveland Rd, Wooster, OH 44691 Phone: 330-262-2500 | |
Christina E Stout, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1739 Cleveland Rd, Wooster, OH 44691 Phone: 330-262-2500 Fax: 330-264-8713 |