Individual
KHERCIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 599-4080
Mailing address
330 BARCLAY AVE NE, GRAND RAPIDS, MI 49503-2556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301116055
MI
Other
Enumeration date
06/30/2018
Last updated
06/25/2021
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