KELLY WAYNE SMITH

COOS BAY, OR
NPI1508083189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: OR  200740846RN)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
-- KELLY WAYNE SMITH NP FNP-PP
BAY CLINIC, LLP 1750 THOMPSON RD
COOS BAY, OR 97420
Phone number: 541-269-0333
Mailing Address
-- KELLY WAYNE SMITH NP FNP-PP
BAY CLINIC, LLP 1750 THOMPSON RD
COOS BAY, OR 97420
Phone number: 541-269-0333