Individual
KEISHA SEREEN PARKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1232 RACE ROAD, STE 403, ROSEDALE, MD 21237-2123
(443) 868-7101
(443) 732-0054
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R166453
MD
Other
Enumeration date
03/22/2021
Last updated
07/27/2022
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