Individual
KANDI T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3420 KUHIO HIGHWAY, LIHUE, HI 96766
(808) 245-1100
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(817) 448-9316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
588145
TX
367500000X
Certified Registered Nurse Anesthetist
APRN776
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56680401
—
HI
Enumeration date
07/07/2005
Last updated
10/30/2020
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