Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Smith

Individual provider Nurse Practitioner · NPI 1518353341

Kelly Smith is a Nurse Practitioner in South Boston, Virginia. Qualified in 2015, 11 years ago. Practices with Dominion Health Medical Assoc, a 34-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015

Practice location Address checks out

2232 Wilborn Ave Ste D
South Boston, VA 24592-1662
Phone: (434) 575-1212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024172518 (VA)

Record details

NPI number1518353341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESApril 8, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dominion Health Medical Assoc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in South Boston