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1245320878
KELLY W. SMITH
SALT LAKE CITY, UT
NPI
1245320878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 162325-1205)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
KELLY W. SMITH MD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-6393
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Mailing Address
KELLY W. SMITH MD
PO BOX 581053
SALT LAKE CITY, UT 84158-1053
Phone number: 801-213-3800
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