IndividualActive
Kerry Kingsley-Smith, RN
NPI 1356584775 · Registered Nurse · Salem, OR
Provider details
- NPI number
- 1356584775
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 200441951RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
3750 Chemawa Rd Ne
Salem, OR 97305-1111
Phone: (503) 304-7600
Fax: (503) 304-7678
Approximate (ZIP-level) locationGet directions
Mailing address
3750 Chemawa Rd Ne
Salem, OR 97305-1111
Registry dates
- Enumerated
- 2009-04-15
- Last updated
- 2009-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.