Individual
KYLIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Mailing address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221100
SC
363L00000X
Nurse Practitioner
22754
SC
363LF0000X
Family Nurse Practitioner
Primary
22754
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5960
—
SC
Enumeration date
07/09/2014
Last updated
03/11/2020
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