Individual
KRISTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 E BAKER ST, INDIANOLA, MS 38751-2451
(662) 887-2212
(662) 887-1279
Mailing address
122 E BAKER ST, INDIANOLA, MS 38751-2451
(662) 887-2212
(662) 887-1279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
882509
MS
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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