Individual
KIYANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 MONEY ST, TUPELO, MS 38801-1000
(662) 825-4264
(662) 825-4264
Mailing address
134 MONEY ST, TUPELO, MS 38801-1000
(662) 825-4264
(662) 825-4264
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
801520196
MS
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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