Grummer-Smith, Kelly Renae

Grummer-Smith, Kelly Renae is an individual health care provider with primary practice located at 39 Kent Rd Ste 5 , Tifton GA 31794-1697. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Grummer-Smith, Kelly Renae can be contacted via phone (229) 353-7337.

Contact Information

Primary practice address
39 Kent Rd Ste 5 Tifton GA 31794-1697
Phone: (229) 353-7337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X RN180155 Georgia
Nursing Service Providers / Lactation Consultant 163WL0100X 545382 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN180155 Georgia

Profile Details

NPI number 1619310802
LBN Legal business name Grummer-Smith, Kelly Renae
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Mar 24th, 2021 - about 4 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