Kelly M Smith, B.S., C.B.I.S. exp
Rehabilitation Practitioner in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1780958769
StatusActive
Last updated in NPPESMar 8, 2012
Details
- NPI
- 1780958769
- Entity type
- Individual (NPI-1)
- Name
- Kelly M Smith
- Credential
- B.S., C.B.I.S. exp
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2012
- Last updated
- Mar 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | 1018 | MI | Yes |
| 225400000X | Rehabilitation Practitioner | 1018 | VA |
Practice location
2880 Renfrew St.Ann Arbor, MI 48105-1454
Phone 734-649-6749
Mailing address
11415 Lauderdale CtPinckney, MI 48169-9535
Phone 734-878-2919
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Rehabilitation Practitioner providers in Ann Arbor, MI
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.