Smith-Kelly, Jessica B.

Smith-Kelly, Jessica B. is an individual health care provider with primary practice located at 1464 Jefferson St N , Lewisburg WV 24901-1380. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Smith-Kelly, Jessica B. can be contacted via phone (304) 645-3220.

Contact Information

Primary practice address
1464 Jefferson St N Lewisburg WV 24901-1380
Phone: (304) 645-3220
Fax: (844) 479-4545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 2998 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2998 West Virginia

Profile Details

NPI number 1124381488
LBN Legal business name Smith-Kelly, Jessica B.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Apr 3rd, 2020 - about 5 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 1124381488 NPPES
West Virginia MEDICAID 1124381488

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