Individual
KAYLA HAUSS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
114 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 765-5470
(336) 499-5428
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2021-02712
NC
207V00000X
Obstetrics & Gynecology Physician
40738
SC
Other
Enumeration date
04/20/2017
Last updated
10/15/2021
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