Individual
KRISTIE D. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
544 BRAWLEY SCHOOL RD, STE A, MOORESVILLE, NC 28117-9393
(606) 573-4440
(606) 573-4441
Mailing address
544 BRAWLEY SCHOOL RD, STE A, MOORESVILLE, NC 28117-9393
(606) 573-4440
(606) 573-4441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3004931
KY
363LF0000X
Family Nurse Practitioner
Primary
5011421
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78017019
—
KY
Enumeration date
07/28/2006
Last updated
03/04/2020
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