Smith, Kelly J
Smith, Kelly J is an individual health care provider with primary practice located at 4114 Pond Hill Rd Ste 101 , San Antonio TX 78231-1273. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Smith, Kelly J can be contacted via phone (210) 249-5020.Contact Information
Primary practice address
4114 Pond Hill Rd Ste 101
San Antonio TX 78231-1273
Phone: (210) 249-5020
Fax: (210) 572-1540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | M3394 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2080S0012X | M3394 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | M3394 | Texas |
Profile Details
| NPI number | 1528198405 |
|---|---|
| LBN Legal business name | Smith, Kelly J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | May 11th, 2026 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528198405 | NPPES |
| Texas | MEDICAID | 19177340-02 |
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