KELLY RAE SMITH

PROSPECT, KY
NPI1518566371
Former NameKELLY RAE KASPAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3015261)
Enumeration Date2020-10-22
Last Update Date2020-10-22
Business Address
KELLY RAE SMITH NP
13402 CREEKVIEW RD
PROSPECT, KY 40059-9028
Phone number: 502-396-0237
Mailing Address
KELLY RAE SMITH NP
13402 CREEKVIEW RD
PROSPECT, KY 40059-9028
Phone number: 502-396-0237
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