Smith, Kelley Wade

Smith, Kelley Wade is an individual health care provider with primary practice located at 4601 Whitesburg Dr S Suite 201, Huntsville AL 35802-1676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Smith, Kelley Wade can be contacted via phone (256) 880-1050.

Contact Information

Primary practice address
4601 Whitesburg Dr S Suite 201 Huntsville AL 35802-1676
Phone: (256) 880-1050
Fax: (256) 880-7477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 24624 Alabama

Profile Details

NPI number 1770535080
LBN Legal business name Smith, Kelley Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jun 24th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770535080 NPPES
Alabama MEDICAID 051551866

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