Individual
KRISTOPHER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4175 CANAL DR NW, CARROLL, OH 43112-9734
(614) 364-0419
Mailing address
4175 CANAL DR NW, CARROLL, OH 43112-9734
(614) 364-0419
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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