| Doctor Name: | KAMMIELL SMITH |
| NPI Number: | 1437430246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 20295 |
| Business Practice Address: | 300 Garnet Way Warm Springs, MT - 597560300 |
| Business Phone Number: | 4066937008 |
| Business Fax Number: | 4064443082 |
| Mailing Address: | 100 Garnet Way, Po Box 300 WARM SPRINGS |
| State: | MT |
| Postal Code: | 597569705 |
| Phone Number: | 4066937008 |
| Fax Number: | 4064443082 |
| NPI Enumeration Date: | 09/07/2011 |
| NPI Last Update Date: | 09/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 20295 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |