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KELLY WAYNE SMITH NP FNP-PP
NPI 1508083189
Nurse Practitioner - Adult Health in Coos Bay, OR

Active since April 18, 2007
BAY CLINIC, LLP, 1750 THOMPSON RD, COOS BAY, OR 97420(541) 269-0333 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Wayne Smith Np Fnp-pp NPPES

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

KELLY WAYNE SMITH NP FNP-PP (NPI 1508083189) is an individual adult health provider in Coos Bay, Oregon and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1508083189
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameKELLY WAYNE SMITHCredential: NP FNP-PP
Location AddressBAY CLINIC, LLP, 1750 THOMPSON RDCoos Bay, OR 97420
Mailing AddressBay Clinic, Llp, 1750 Thompson RdCoos Bay, OR 97420 · (541) 269-0333
Phone(541) 269-0333
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508083189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
BAY CLINIC, LLP, Coos Bay, OR 97420
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Other Identifiers 1

Medicare UPINP01122MT

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 1508083189. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Kelly Smith located?

Kelly Smith practices at Bay Clinic, LLP 1750 Thompson Rd, Coos Bay, OR 97420. The listed phone number is (541) 269-0333.

What is Kelly Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kelly Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.