Smith, Kelly Wayne

Smith, Kelly Wayne is an individual health care provider with primary practice located at Bay Clinic, Llp 1750 Thompson Rd, Coos Bay OR 97420. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Smith, Kelly Wayne can be contacted via phone (541) 269-0333.

Contact Information

Primary practice address
Bay Clinic, Llp 1750 Thompson Rd Coos Bay OR 97420
Phone: (541) 269-0333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X Oregon

Profile Details

NPI number 1508083189
LBN Legal business name Smith, Kelly Wayne
Credentials NP FNP-PP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2007 - about 19 years 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.

Request for update

Popular Providers