Individual
MS. KRISTINE KAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-1160
Mailing address
4926 HEATHER DR, APT 112, DEARBORN, MI 48126-4134
(847) 636-9215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
12/12/2005
Last updated
07/16/2007
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