Bonnie Kellam Smith
Nurse Practitioner - Women's Health
4600 Gulf Fwy
Houston
, Texas 77023-3548
Bonnie Kellam Smith
Nurse Practitioner - Women's Health
4600 Gulf Fwy
Houston
, Texas 77023-3548
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Bonnie Kellam Smith
- 4600 Gulf Fwy
- Houston, TX
- Zip : 77023-3548
- Phone :
Second Address
- Bonnie Kellam Smith
- 4600 Gulf Fwy
- Houston, TX
- Zip : 77023-3548
- Fax : (404) 494-7435
- Phone : (713) 522-3976
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FAQs
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Is Bonnie Kellam Smith a sole practitioner?
Is Bonnie Kellam Smith accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LW0102X | Nurse Practitioner - Women's Health | AP04701 | LA |
| Y | 363LW0102X | Nurse Practitioner - Women's Health | AP103014 | TX |
National Provider Identifier
| NPI | 1053518894 |
|---|---|
| Provider Name | Bonnie Kellam Smith |
| First Address | Houston, TX 77023-3548 |
| Second Address | Houston, TX 77023-3548 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2007 |
| Last Update Date | 13/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0708125-03 | (05) | TX |
| 1815365 | (05) | LA |
| 410929ZN2R | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.