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KELLY M SMITH P.A.
NPI 1194818658
Physician Assistant in Salem, NY

Active since October 02, 2006
213 MAIN STREET, SALEM FAMILY HEALTH CENTER, SALEM, NY 12865(518) 854-3821(518) 854-3224 Get Directions Write a Review

NPPES record last updated: June 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly M Smith P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY M SMITH P.A. (NPI 1194818658) is an individual physician assistant in Salem, New York, licensed in New York (003117) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1194818658
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY M SMITHCredential: P.A.
Location Address213 MAIN STREET, SALEM FAMILY HEALTH CENTERSalem, NY 12865
Mailing AddressPo Box 304Glens Falls, NY 12801-0304 · (518) 854-3821 · Fax (518) 854-3224
Phone(518) 854-3821
Fax(518) 854-3224
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 7, 2012
✔ NPI 1194818658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 003117
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
213 MAIN STREET, Salem, NY 12865
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Other Identifiers 3

Medicare UPINS31401
Medicare PINPA2119NY
Medicaid01599751NY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRIE L MCNEIL MD
Family Medicine
213 MAIN STREET, SALEM FAMILY HEALTH CENTER
SALEM, NY 12865
Washington County (518) 854-3821
GLENS FALLS HOSPITAL INC
Family Medicine
213 MAIN STREET
SALEM, NY 12865
Washington County (518) 854-3821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Smith's NPI number?

The NPI number for Kelly Smith is 1194818658. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Kelly Smith located?

Kelly Smith practices at 213 Main Street Salem Family Health Center, Salem, NY 12865. The listed phone number is (518) 854-3821.

What is Kelly Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Smith was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.