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Contact Information

KELLY M SMART, PA
141 HILLCREST DR
CLARKSVILLE, TN37043
 Phone: 931-552-4340
 Fax: 931-552-0999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELLY M SMART · (Female)

NPI # 1720081532
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/24/2005
Last updated 10/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TN License # PA1125
  • TN Medicaid 3663312
  • TN Medicaid 620862316
  • KY Other 9500536900 KENTUCKY MEDICAID
Hospital affiliation(s)
  • GATEWAY MEDICAL CENTER - (Acute Care)
    651 DUNLOP LANE
    CLARKSVILLE, TN 37040
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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