Search › Wisconsin › 363L00000X
Kelly Smith, NP
NPI 1588173199 · on the registry since 2017
Practice
- Address
- 10554 N Port Washington Rd
Mequon, WI 53092 - Phone
- (414) 352-2766
- Fax
- (262) 241-5816
- Organisation at this address
- Mequon Plastic Surgeons Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 207Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin