Individual
KEVIN LEE SMITH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 M ST NE APT 524, WASHINGTON, DC 20002-3985
(301) 732-3414
Mailing address
3612 S 14TH ST APT 210, ALEXANDRIA, VA 22302-1087
(301) 732-3414
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
F69615301
VA
Other
Enumeration date
12/21/2020
Last updated
10/20/2023
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