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Contact Information

KELLY J SMITH MD PA
5282 MEDICAL DR
SUITE 120
SAN ANTONIO, TX78229-4849
 Phone: 210-615-3700
 Fax: 210-615-3701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Sleep Medicine

2080S0012X 37 Physician/Pediatric Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KELLY J SMITH MD PA · (Female)

NPI # 1083829139
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2007
Last updated 07/30/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # M3394
  • TX Medicaid 191771801
Hospital affiliation(s) Not Available
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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