Kelly Dawn Smith, BSN,RN
Registered Nurse, Administrator in Copperas Cove, TX. Individual provider (NPI-1).
NPI number1699367698
StatusActive
Last updated in NPPESFeb 10, 2021
Details
- NPI
- 1699367698
- Entity type
- Individual (NPI-1)
- Name
- Kelly Dawn Smith
- Credential
- BSN,RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2021
- Certification date
- Feb 10, 2021
- Last updated
- Feb 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA2000X | Registered Nurse, Administrator | 802161 | TX | Yes |
| 163WP2201X | Registered Nurse, Ambulatory Care | 802161 | TX |
Practice location
458 Town SqCopperas Cove, TX 76522-2826
Phone 254-553-5833
Mailing address
36065 Santa Fe AveFort Hood, TX 76544-5060
Phone 254-553-5833
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