Individual
KELLY HYATT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
134 LATIMER ST, LATTA, SC 29565-1828
(843) 752-2711
(843) 752-2002
Mailing address
134 LATIMER ST, LATTA, SC 29565-1828
(843) 752-2711
(843) 752-2002
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
100307
SC
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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