National Provider Identifier
Kelly Jean Smart, REGISTERED NURSE
Kelly Jean Smart, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of School Registered Nurse in Clyde, NY and a listed phone number of (315) 902-3020.
Profile Overview
- NPI
- 1255708103
- Provider Type
- Individual
- Primary Specialty
- School Registered Nurse
- Enumeration Date
- August 26, 2015
- Last Updated
- August 26, 2015
Practice Location
- 215 Glasgow St
- Clyde, NY 14433-1222
Phone: (315) 902-3020
Specialties
- School Registered Nurse (163WS0200X)
Full Record
- NPI
- 1255708103
- Entity Type
- Individual
- Last Name
- Smart
- First Name
- Kelly
- Middle Name
- Jean
- Name Prefix
- Mrs.
- Credential
- REGISTERED NURSE
- Provider Other Last Name
- Carr
- Provider Other First Name
- Kelly
- Provider Other Middle Name
- Jean
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- REGISTERED NURSE
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 215 Glasgow St
- Mailing City
- Clyde
- Mailing State
- NY
- Mailing ZIP Code
- 14433-1222
- Mailing Country
- US
- Mailing Phone
- (315) 902-3020
- Mailing Fax
- (315) 923-7906
- Practice Street Address
- 215 Glasgow St
- Practice City
- Clyde
- Practice State
- NY
- Practice ZIP Code
- 14433-1222
- Practice Country
- US
- Practice Phone
- (315) 902-3020
- Practice Fax
- (315) 923-7906
- Enumeration Date
- August 26, 2015
- Last Updated
- August 26, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Registered Nurse (163WS0200X)