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Individual

KENYATTA CHIQUITA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6765 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2111
(215) 403-7426
Mailing address
7100 RUSKIN LN, UPPER DARBY, PA 19082-5023
(267) 939-8296

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN644344
PA

Other

Enumeration date
02/04/2026
Last updated
02/04/2026
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