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Kelly Smith, IDC
NPI 1689830788 · Independent Duty Corpsman · Gulfport, MS
Kelly Smith, IDC is a Independent Duty Corpsman provider in Gulfport, MS (NPI 1689830788).
Provider details
- NPI number
- 1689830788
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5501 Marvin Shields Blvd
Gulfport, MS 39501-9007
Phone: (228) 871-2810
Approximate (ZIP-level) locationGet directions
Mailing address
3150 Holloway Dr
Gulfport, MS 39501-9030
Registry dates
- Enumerated
- 2008-07-29
- Last updated
- 2008-07-29
Frequently asked questions
- What is Kelly Smith's NPI number?
- Kelly Smith's National Provider Identifier (NPI) is 1689830788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Smith's specialty?
- Kelly Smith is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Kelly Smith located?
- Kelly Smith's practice location on file with NPPES is 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007.
- What is Kelly Smith's phone number?
- The practice phone number listed in the NPPES registry for Kelly Smith is (228) 871-2810.
- Is Kelly Smith's NPI active?
- Yes — Kelly Smith's NPI (1689830788) is active in the NPPES registry as of the last update on 2008-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.