Individual
KENDALL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
PO BOX 1030, CLARKTON, NC 28433-1030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5008758
NC
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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