Individual
KYANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
320 HOSPITAL DR, REHABILITATION SERVICES DEPARTMENT, MARTINSVILLE, VA 24112-1900
(276) 806-8685
Mailing address
150 LEE ST APT 6, COLLINSVILLE, VA 24078-1397
(434) 250-5145
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E3150340
—
2255A2300X
Athletic Trainer
Primary
0126002416
VA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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