| Doctor Name: | KELLY SMITH BARNES |
| NPI Number: | 1194098145 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3007336 |
| Business Practice Address: | 130 E Locust St Dresden, TN - 382251467 |
| Business Phone Number: | 7313645613 |
| Business Fax Number: | 7313645359 |
| Mailing Address: | 130 E Locust St, DRESDEN |
| State: | TN |
| Postal Code: | 382251467 |
| Phone Number: | 7313645613 |
| Fax Number: | 7313645359 |
| NPI Enumeration Date: | 02/21/2012 |
| NPI Last Update Date: | 10/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3007336 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |