Individual
KALEB SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
960 AVENT DR, GRENADA, MS 38901-5230
(662) 227-7000
Mailing address
2704 W OXFORD LOOP, OXFORD, MS 38655-5723
(662) 550-4299
(662) 580-4324
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
917382
MS
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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