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Contact Information

JESSICA B SMITH KELLY, DO
1464 JEFFERSON ST N
LEWISBURG, WV24901-1380
 Phone: 304-645-3220
 Fax: 844-479-4545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for JESSICA B SMITH KELLY · (Female)

NPI Number 1124381488
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/21/2012
Last updated 04/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 2998
  • WV Medicaid 1124381488
Hospital affiliation(s)
  • GREENBRIER VALLEY MEDICAL CENTER - (Acute Care)
    202 MAPLEWOOD AVENUE PO BOX 497
    RONCEVERTE, WV 24970
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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