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NPI Code Detail

MEDICARE: REED KELLY SMITH M.D.

MEDICARE: REED KELLY SMITH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207U00000XNuclear Medicine PhysicianTM00851TX
22085N0904XNuclear Radiology Physician74405MN
32085R0202XDiagnostic Radiology Physician13032CWY
42085R0202XDiagnostic Radiology PhysicianTM00851TX
52085R0202XDiagnostic Radiology Physician19821NE
62085R0202XDiagnostic Radiology PhysicianME132648FL
72085R0202XDiagnostic Radiology PhysicianCDRH.0057736CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255312286
Entity Type Code : Individual
Provider Name (Legal Business Name) : REED KELLY SMITH M.D.
Provider Business Mailing Address
First Line : 2008 CARIBOU DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4325
Country : US
Telephone Number : 970-484-4757
Fax Number : 970-484-4759
Provider Business Practice Location Address
First Line : 1024 S LEMAY AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3929
Country : US
Telephone Number : 970-495-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 06/09/2025

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