NPI 1003005513
Kelly Smith
Practice location
- Address
- 30724 Benton Rd C-302 #551, Winchester, CA 92596-8470
- Phone
- (951) 837-4703
- Fax
- (951) 837-4702
- Mailing address
- 29970 Technology Dr #208, Murrieta, CA 92563-2645
Authorised official
- Name
- Kelly Smith
- Title
- Nurse
- Phone
- (951) 837-4703
Registered specialties
Licensed Vocational Nurse
Primary
Registry record
- NPI
- 1003005513
- Entity type
- Organization
- NPI issued
- 20 Oct 2007
- Record last updated
- 4 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.