Individual
KAMI L. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1703 W STONES CROSSING RD STE 200, GREENWOOD, IN 46143
(317) 859-3737
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01077221A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201172820
—
IN
Enumeration date
06/05/2013
Last updated
03/22/2021
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