Kelly Smith, is a
Licensed Vocational Nurse based in Clarendon, Texas. Kelly Smith is licensed to practice in Texas (license number 343698) and her current practice location is
512 S Kearny, Clarendon, Texas. She can be reached at her office (for appointments etc.) via phone at
(806) 664-1773.
NPI number for Kelly Smith is 1346720893 and her current mailing address is 512 S Kearny, Clarendon, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346720893.
Provider's Profile
| Full Name | Kelly Smith |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 512 S Kearny, Clarendon, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346720893
- Provider Enumeration Date: 08/15/2018
- Last Update Date: 08/15/2018
Medical Identifiers
Medical identifiers for Kelly Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346720893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 343698 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Smith,
512 S Kearny,
Clarendon, TX 79226
Ph: () - | Kelly Smith,
512 S Kearny,
Clarendon, TX 79226
Ph: (806) 664-1773 |
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