NPI 1104053891

Kellie Miranda Smith Blackwell, DO

Practitioner Family Medicine Physician Abingdon, VA

Practice location

Address: 117 Cook St, Abingdon, VA 24210-3203
Phone: (276) 619-5052
Fax: (276) 619-5115
Mailing address: PO Box 3889, Johnson City, TN 37602-3889

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0102203141 (VA)

Other Family Medicine providers in Virginia →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5527 (TN)

Registry record

NPI: 1104053891
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2009
Record last updated: 11 Jan 2024

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.