Individual
KENDALL LAMAR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
276207
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
133874
NC
Other
Enumeration date
06/10/2021
Last updated
07/05/2021
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