HOLLY SMITH LPN NPI 1639920788

NPI Information

  • NPI: 1639920788
  • Provider Name: HOLLY SMITH, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 1109 COBB AVE
    KALAMAZOO, MI
    ZIP 49007
  • Phone: (910) 650-8828

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NPI Details

Holly Smith, LPN is a licensed practical nurse in Kalamazoo, MI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Holly Smith, LPN NPI is 1639920788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1109 COBB AVE
KALAMAZOO, MI
ZIP 49007-449
Phone: (910) 650-8828

The enumeration date for this NPI number is 3/28/2024 and was last updated on 3/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11710I1003XMilitary Health Care ProviderIndependent Duty Medical TechniciansNo
2171400000XHealth and Wellness CoachNo
3374U00000XHome Health AideNo
4164W00000XLicensed Practical Nurse4703120614MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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