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Kenisha Smith

NPI 1770174930 · on the registry since 2021 · sole proprietor

Practice

Address
4610 Bedrock Dr
Jonesboro, AR 72404
Phone
(870) 680-0849

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas